Ronald Gregory Grant, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA11322 Issued in CA

Practice address

350 30TH St
Suite 407
Oakland, CA 94609-3425

Phone

(510) 419-0230

Fax

(510) 419-0273

NPI assigned

Apr 19, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family Practice Medical Group of Oakland

  • Family Medicine Physician
  • Oakland, CA
  • NPI 1649234865
  NPD (past)
• Hill Health Inc a Medical Corporation

  • General Practice Physician
  • Oakland, CA
  • NPI 1245607456
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1740245190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 30TH ST",
            "address_2": "SUITE 407",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093425",
            "telephone_number": "510-419-0230",
            "fax_number": "510-419-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 30TH ST",
            "address_2": "SUITE 407",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093425",
            "telephone_number": "510-419-0230",
            "fax_number": "510-419-0273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "RONALD",
        "middle_name": "GREGORY",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA11322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen M. Grannan, MD
• Dan M Granoff, M.D.
• L V Grant, DPM
• Melanie Jane Grant
• Olen Grant Jr.
• Joanne Gras, DO
• Erik D Grasso, MA, BCBA
• Grateful Heart Holistic Therapy Center
• Moses B. Graubard, MD
• Janet Graul, R.N., P.N.P.

• Physician Assistant in Oakland, CA
• Providers in Oakland, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.