Active NPI
David L Gregg, MD
- Surgery Physician
- Menlo Park, CA
National Provider Identifier
1891759536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- G30370
- Practice address
- 1300 Crane Street
Menlo Park, CA 94025-4429 - Phone
- (650) 498-6500
- NPI assigned
- Apr 12, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | G30370 | CA | Primary |
Addresses
Primary practice location
1300 Crane Street
Menlo Park, CA 94025-4429
Mailing address
PO Box 60000
File #72484
San Francisco, CA 94160-0001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MMM00087M | Other | NHIC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30370 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326931200000",
"number": "1891759536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60000",
"address_2": "FILE #72484",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941600001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 CRANE STREET",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940254429",
"telephone_number": "650-498-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREGG",
"first_name": "DAVID",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-12",
"last_updated": "2012-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "G30370",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHIC",
"identifier": "MMM00087M",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Menlo Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.