Active NPI
Gerald Junior Gracia, M.D.
- Surgical Critical Care Physician
- Eureka, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Critical Care Physician
- License
- A108980
- Practice address
- 2700 Dolbeer St
Eureka, CA 95501-4736 - Phone
- (707) 445-8121
- NPI assigned
- Jan 30, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Critical Care Physician | 2086S0102X | A108980 | CA | Primary |
| Surgical Critical Care Physician | 2086S0102X | 267318 | NY |
Addresses
Primary practice location
2700 Dolbeer St
Eureka, CA 95501-4736
Mailing address
1311 W 5TH St Apt 110
Los Angeles, CA 90017-4921
Phone (305) 710-9041
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Florida College of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2801 Atlantic Ave
Long Beach, CA 90806-1701
Phone (562) 933-2000
Hospital & facility affiliations
- Memorialcare Long Beach Medical Center
- Santa Clara Valley Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acute Care Surgery Medical Group, Inc. | Surgical Critical Care | Current | Accepting new patients |
| Cal Med Physicians and Surgeons, Inc. | Surgical Critical Care | Current | Accepting new patients |
| Surgicalists of Ca PC | Current | Accepting new patients | |
| University Hospital at Stony Brook | Past | Accepting new patients |
Locations
400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1800
400 N Pepper Ave
Ste 308
Colton, CA 92324
Phone (909) 580-1366
2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000
2865 Atlantic Ave
Ste 104
Long Beach, CA 90806
Phone (562) 933-1820
27700 Medical Center Rd
Mission Viejo, CA 92691
Phone (949) 364-7744
155 N Jackson Ave
Ste 201
San Jose, CA 95116
Phone (408) 770-5224
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- ggracia113078@direct.memorialcare.org
- ggracia235317@santaclaravalley.direct-ci.net
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- San Bernardino, CA
- NPI 1952792475
-
- Surgery Physician
- Sacramento, CA
- NPI 1700069549
Surgical Critical Care
-
- Surgery Physician
- Colton, CA
- NPI 1316054737
Surgical Critical Care
-
- Surgery Physician
- San Jose, CA
- NPI 1992341895
-
- General Acute Care Hospital
- Greenport, NY
- NPI 1881690691
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Jose, CA
- NPI 1063406551
-
- General Acute Care Hospital
- Long Beach, CA
- NPI 1962442012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1821236704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1311 W 5TH ST APT 110",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900174921",
"telephone_number": "305-710-9041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 DOLBEER ST",
"city": "EUREKA",
"state": "CA",
"postal_code": "955014736",
"telephone_number": "707-445-8121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRACIA",
"first_name": "GERALD",
"middle_name": "JUNIOR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-30",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "CA",
"license": "A108980",
"primary": true
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "NY",
"license": "267318",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eureka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
- 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.