Individual provider Active NPI

Alexander Grand, MD

  • Ophthalmology Physician
  • Sacramento, CA
National Provider Identifier
1861694077
Registry record updated Nov 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A110469 Issued in CA
Practice address
1700 Alhambra Blvd
Suite 202
Sacramento, CA 95816-7050
Phone
(916) 731-8040
Fax
(916) 454-4152
NPI assigned
Jun 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 4301093445 MI
Ophthalmology Physician 207W00000X A110469 CA Primary

Addresses

Primary practice location

1700 Alhambra Blvd
Suite 202
Sacramento, CA 95816-7050

Mailing address

1700 Alhambra Blvd
Suite 202
Sacramento, CA 95816-7050
Phone (916) 731-8040

Other identifiers 2

IdentifierTypeStateIssuer
1861694077MedicaidCA
07902MedicaidLA

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
I20100803001159 CA Practitioner - OphthalmologyPractitioner - Neurology 0749336790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OphthalmologyAlso: Neurology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1700 Alhambra Blvd
Suite 202
Sacramento, CA 95816-7050
Phone (916) 731-8040

Hospital & facility affiliations

  • Sutter Roseville Medical Center Hospital, Roseville, CA, CCN 050309
  • Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108
  • Sutter Auburn Faith Hospital Hospital, Auburn, CA, CCN 050498

Merit-based Incentive Payment System (MIPS)

Final score
87.7 of 100Reported as group
Quality
80.43
Promoting interoperability
100
Improvement activities
40
Cost
78.55

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10
Melanoma (skin cancer) excision71

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A110469CAMDOphthalmology Physician
4301093445MIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Vision Technology Ophthalmology Medical GRP, Inc. Ophthalmology CurrentSince Jul 15, 2010 Accepting new patients
Medical Vision Technology Ophthalmology Medical Group Inc. Ophthalmology Current Accepting new patients
Medical Vision Technology Ophthalmology Medical Group Inc. Ophthalmology CurrentSince Jul 15, 2010 Accepting new patients
Sutter North Medical Foundation Past Accepting new patients

Locations

635 Anderson Rd
Ste 1
Davis, CA 95616
Phone (530) 756-5040

1830 Sierra Gardens Dr
Ste 100
Roseville, CA 95661
Phone (916) 782-2111

1700 Alhambra Blvd
Ste 202
Sacramento, CA 95816
Phone (916) 453-2921

Interoperability endpoints

  • Direct secure messaging: agrand30243@hisp.ehr.sutterhealth.org

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352073600000",
    "number": "1861694077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 ALHAMBRA BLVD",
            "address_2": "SUITE 202",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958167050",
            "telephone_number": "916-731-8040",
            "fax_number": "916-454-4152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 ALHAMBRA BLVD",
            "address_2": "SUITE 202",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958167050",
            "telephone_number": "916-731-8040",
            "fax_number": "916-454-4152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAND",
        "first_name": "ALEXANDER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2012-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301093445",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A110469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861694077",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07902",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.