Individual provider Active NPI

Joseph Martin Grant, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Pleasanton, CA
National Provider Identifier
1831196435
Registry record updated Jan 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
G49589 Issued in CA
Practice address
5725 W Las Positas Blvd
Ste 200
Pleasanton, CA 94588-4007
Phone
(925) 469-6274
Fax
(925) 924-1769
NPI assigned
Jun 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X G49589 CA Primary

Addresses

Primary practice location

5725 W Las Positas Blvd
Ste 200
Pleasanton, CA 94588-4007

Mailing address

696 San Ramon Valley Blvd # 372
Danville, CA 94526-4022
Phone (925) 469-3120

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
I20100225000800 CA Practitioner - Orthopedic Surgery 6103720248 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.78 of 100Reported as group
Quality
81.74
Promoting interoperability
97
Improvement activities
40
Cost
67.27

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network CurrentSince May 1, 2019 Accepting new patients
Adventist Health Physicians Network Current Accepting new patients
Sonora Community Hospital CurrentSince Aug 1, 2020 Accepting new patients
Adventist Health Physicians Network CurrentSince May 1, 2019 Accepting new patients
Sonora Community Hospital Current Accepting new patients
Sonora Community Hospital CurrentSince Aug 1, 2020 Accepting new patients
Adventist Health Heart Institute-Ukiah Past Accepting new patients

Locations

23 N Main St
Ste 201
Angels Camp, CA 95222
Phone (209) 536-5774

23 N Main St
#201
Angels Camp, CA 95222

1524 W Lacey Blvd
Ste 101
Hanford, CA 93230
Phone (559) 583-4695

200 W Roseburg Ave
Ste B1
Modesto, CA 95350
Phone (209) 491-2500

200 W Roseburg Ave
#B100
Modesto, CA 95350
Phone (209) 536-5776

5725 W Las Positas Blvd
Ste 200
Pleasanton, CA 94588
Phone (925) 469-3120

680 Guzzi Ln
Ste 106
Sonora, CA 95370
Phone (209) 532-2792

680 Guzzi Ln
Ste 201
Sonora, CA 95370
Phone (209) 536-1785

900 Greenley Rd
Ste 914
Sonora, CA 95370
Phone (209) 532-6128

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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": "1120003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547424000000",
    "number": "1831196435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "696 SAN RAMON VALLEY BLVD # 372",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945264022",
            "telephone_number": "925-469-3120",
            "fax_number": "925-924-1769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5725 W LAS POSITAS BLVD",
            "address_2": "STE 200",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945884007",
            "telephone_number": "925-469-6274",
            "fax_number": "925-924-1769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "JOSEPH",
        "middle_name": "MARTIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-29",
        "last_updated": "2019-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CA",
            "license": "G49589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

Verify at the official NPI Registry.