NPIMap

Individual provider Active NPI

Christopher John O'Grady, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Watsonville, CA
National Provider Identifier
1861474306
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
G73458 Issued in CA
Practice address
65 Nielson St
#104
Watsonville, CA 95076-2491
Phone
(831) 786-8595
Fax
(831) 786-8557
NPI assigned
Nov 18, 2005
Last updated
Jul 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X G73458 CA Primary

Addresses

Primary practice location

65 Nielson St
#104
Watsonville, CA 95076-2491

Mailing address

65 Nielson St
#104
Watsonville, CA 95076-2491
Phone (831) 786-8595

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060126000379 CA Practitioner - Geriatric MedicinePractitioner - Family Practice 0749204089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Family Practice
Education
University of Vermont College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

65 Neilson St
Suite 104
Watsonville, CA 95076-2491
Phone (831) 786-8595

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions12
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
73458CAMDPharmacist
G73458CAMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pajaro Valley Medical Clinic, Inc. Geriatric Medicine CurrentSince Jan 25, 2006 Accepting new patients
Pinehurst Hospitalist Medical Group, Inc. CurrentSince Mar 17, 2020 Accepting new patients

Locations

65 Nielson St
Ste 104
Watsonville, CA 95076
Phone (831) 786-8595

75 Nielson St
Watsonville, CA 95076
Phone (831) 724-4741

Interoperability endpoints

  • Direct secure messaging: christopher.ogrady@13354950066180.direct.elationemr.com
  • Direct secure messaging: cogrady@yourcarecommunity.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1861474306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 NIELSON ST",
            "address_2": "#104",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950762491",
            "telephone_number": "831-786-8595",
            "fax_number": "831-786-8557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 NIELSON ST",
            "address_2": "#104",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950762491",
            "telephone_number": "831-786-8595",
            "fax_number": "831-786-8557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'GRADY",
        "first_name": "CHRISTOPHER",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "G73458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watsonville, CA

Sources for this page

Verify at the official NPI Registry.