Michael L McGrady, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35-038216 Issued in OH

Practice address

8808 Balboa Ave
San Diego, CA 92123-1592

Phone

(619) 645-0155

Fax

(619) 645-0193

NPI assigned

Oct 12, 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

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Tricare Outpatient Clinic Clairemont

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • San Diego, CA
  • NPI 1922206853
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1780773499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 E SIMPSON ST",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446014219",
            "telephone_number": "330-823-3856",
            "fax_number": "330-829-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8808 BALBOA AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231592",
            "telephone_number": "619-645-0155",
            "fax_number": "619-645-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGRADY",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-038216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "CB3053",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0302023",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassie Diane McGowan, SUDCC
• Glaiza Ann Espiritu McGowan, NP
• Joel McGowan, MD
• Kathy McGowan, L.AC.
• Elizabeth McGrady
• David James McGrath, DC
• Jeffrey John McGrath, CRNA
• Johnny McGrath
• Shawna McGrath
• Tara Eileen McGrath, MFT

• Family Medicine Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; 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.