Martin W.a. Graves, B SC, MBBS

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

F 5766 Issued in CA

Practice address

4150 V Street PSSB Suite 1200
Ucdmc Dept. of Anesthesiology & Pain Med
Sacramento, CA 95817

Phone

(916) 734-5028

Fax

(916) 734-2975

NPI assigned

May 15, 2013

Last updated

May 15, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368576000000",
    "number": "1912343179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 V STREET PSSB SUITE 1200",
            "address_2": "UCDMC DEPT. OF ANESTHESIOLOGY & PAIN MED",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95817",
            "telephone_number": "916-734-5028",
            "fax_number": "916-734-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 V STREET PSSB SUITE 1200",
            "address_2": "UCDMC DEPT. OF ANESTHESIOLOGY & PAIN MED",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95817",
            "telephone_number": "916-734-5028",
            "fax_number": "916-734-2975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "MARTIN",
        "middle_name": "W.A.",
        "name_prefix": "Mr.",
        "credential": "B SC, MBBS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-15",
        "last_updated": "2013-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "F 5766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LICENSE 2113",
            "identifier": "F 5766",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Joseph Gravelle Jr.
• Carolyn Graves, LSW
• Claire E Graves, M.D.
• Gregory M Graves, M.D.
• Katelyn Graves
• Monica Ann Graves
• Natalie Erin Graves, LMFT
• Richard Clement Graves, M.D.
• Sarah Lanae Graves
• Terri Marie Graves, LMFT/APCC

• Anesthesiology Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.