Individual provider Active NPI

Buff Randall Greider, M.D.

  • Family Medicine Physician
  • Sunnyvale, CA
National Provider Identifier
1811915846
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C-41541 Issued in CA
Practice address
877 W. Fremont Ave., Suite F-1
Foothill Medical/Dental Center
Sunnyvale, CA 94087
Phone
(408) 736-2304
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 C-41541 CA Primary

Addresses

Primary practice location

877 W. Fremont Ave., Suite F-1
Foothill Medical/Dental Center
Sunnyvale, CA 94087

Mailing address

877 W. Fremont Ave., Suite F-1
Foothill Medical/Dental Center
Sunnyvale, CA 94087
Phone (408) 736-2304

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
I20051201000512 CA Practitioner - Family PracticePractitioner - Sports Medicine 3870513187 Reassigns benefits to 1 organization
Practice locations: Sunnyvale, CA

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
New York Medical College, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
El Camino Health Medical Network LLCGroup PAC ID 6103115183, 202 clinicians

Practice addresses (Care Compare)

4150 N 1St St
San Jose, CA 95134-1513
Phone (408) 871-3400

Merit-based Incentive Payment System (MIPS)

Final score
85.48 of 100Reported as group
Quality
80.12
Promoting interoperability
100
Improvement activities
40
Cost
71.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C-41541CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
El Camino Health Medical Network, LLC CurrentSince Nov 27, 2023 Accepting new patients
El Camino Health Medical Group Past Accepting new patients

Locations

19600 Vallco Pkwy
Ste 170
Cupertino, CA 95014
Phone (650) 338-4776

815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131

1150 W El Camino Real
Mountain View, CA 94040
Phone (650) 695-5008

625 Lincoln Ave
San Jose, CA 95126
Phone (408) 278-3003

4150 N 1st St
San Jose, CA 95134
Phone (408) 871-5050

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.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811915846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "877 W. FREMONT AVE., SUITE F-1",
            "address_2": "FOOTHILL MEDICAL/DENTAL CENTER",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "94087",
            "telephone_number": "408-736-2304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 W. FREMONT AVE., SUITE F-1",
            "address_2": "FOOTHILL MEDICAL/DENTAL CENTER",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "94087",
            "telephone_number": "408-736-2304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREIDER",
        "first_name": "BUFF",
        "middle_name": "RANDALL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C-41541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, CA

Sources for this page

Verify at the official NPI Registry.