Individual provider Active NPI

Matthew Grana, D.O.

  • Family Medicine Physician
  • Redding, CA
National Provider Identifier
1750739934
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
17675 Issued in CA
Practice address
1441 Liberty St
Redding, CA 96001-0811
Phone
(530) 224-2700
Fax
(530) 224-2738
NPI assigned
May 30, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 17675 CA Primary

Addresses

Primary practice location

1441 Liberty St
Redding, CA 96001-0811

Mailing address

1441 Liberty St
Redding, CA 96001-0811
Phone (530) 224-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191227002112 CA Practitioner - Family Practice 4880920446 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Redding RancheriaGroup PAC ID 7810969847, 32 clinicians

Practice addresses (Care Compare)

1441 Liberty St
Redding, CA 96001-0811
Phone 53022427001740

Hospital & facility affiliations

  • Valley View Healthcare Services LLC Home health agency, Chico, CA, CCN 559751
  • Shasta Regional Medical Center Hospital, Redding, CA, CCN 050764

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
17675CAMDNeonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Redding Rancheria CurrentSince Nov 5, 2019 Accepting new patients
Redding Rancheria CurrentSince Nov 5, 2019 Accepting new patients

Locations

3184 Churn Creek Rd
Redding, CA 96002
Phone (530) 224-2700

1441 Liberty St
Redding, CA 96001
Phone (530) 224-2700

4174 Ashby Ct
Shasta Lake, CA 96019
Phone (530) 224-2700

81 Arbuckle Ct
Weaverville, CA 96093
Phone (530) 623-0021

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1464566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1750739934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 LIBERTY ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010811",
            "telephone_number": "530-224-2700",
            "fax_number": "530-224-2738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 LIBERTY ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010811",
            "telephone_number": "530-224-2700",
            "fax_number": "530-224-2738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANA",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-30",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "17675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.