Gratitude Collaborative Healing a Professional Corporation

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

Legal business name

GRATITUDE COLLABORATIVE HEALING A PROFESSIONAL CORPORATION

Practice address

5601 Norris Canyon Rd Ste 210
San Ramon, CA 94583-5407

Phone

(925) 820-6456

Fax

(925) 820-1134

NPI assigned

May 9, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Wendy Pearson

Title

Biller

Phone

(925) 820-6456

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karin Denevi, MD

  • Gynecology Physician
  • Danville, CA
  • NPI 1316916224
  Medicare reassignment NPD

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

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1740926112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 NORRIS CANYON RD STE 210",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945835407",
            "telephone_number": "925-820-6456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 NORRIS CANYON RD STE 210",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945835407",
            "telephone_number": "925-820-6456",
            "fax_number": "925-820-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRATITUDE COLLABORATIVE HEALING A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-09",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "925-820-6456",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL CARE",
            "identifier": "1316916224",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erik Michael Gracer, MD
• Richard Ian Gracer, MD
• Rebecca Grado, MFT
• Adria Graham
• Ann J. Grassel, P.T.
• Jonathan Graves-Yu
• Angelica Graybeal
• Annabelle Greely
• Green Neuropsychology Corporation
• Don-Naze Green

• Gynecology Physician in San Ramon, CA
• Providers in San Ramon, CA by specialty
• Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.