Individual provider Active NPI

Richard Henry Graves III, D.P.M.

  • Podiatrist
  • Long Beach, CA
National Provider Identifier
1912975434
Registry record updated Feb 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E3954 Issued in CA
Practice address
304 Cherry Ave
Long Beach, CA 90802-3848
Phone
(562) 433-0478
Fax
(562) 438-3690
NPI assigned
Mar 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine Podiatrist 213ES0000X E3954 CA
Podiatrist 213E00000X E3954 CA Primary
Foot & Ankle Surgery Podiatrist 213ES0103X E-3954 CA

Addresses

Primary practice location

304 Cherry Ave
Long Beach, CA 90802-3848

Mailing address

304 Cherry Ave
Long Beach, CA 90802-3848
Phone (562) 433-0478

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041222000881 CA Practitioner - Podiatry 4385602275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard H Graves DPM IncGroup PAC ID 7315222825, 4 clinicians

Practice addresses (Care Compare)

304 Cherry Ave
Long Beach, CA 90802-3848
Phone (562) 433-0478

Hospital & facility affiliations

  • Memorialcare Long Beach Medical Center Hospital, Long Beach, CA, CCN 050485

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue690
Removal of skin lesions1-10
Removal of nail tissue853
Removal or shaving of skin growth619
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
E3954CAMDPodiatrist
E-3954CAMDFoot & Ankle Surgery Podiatrist
3954CAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Richard H Graves DPM PC Podiatrist CurrentSince Apr 1, 2017 Accepting new patients
Richard H Graves DPM Inc Podiatrist CurrentSince May 10, 1997 Accepting new patients
Beach Cities Podiatry Group, Inc. PastSince Aug 22, 1998 Accepting new patients
Seal Beach Podiatry Group, Inc. Podiatrist PastSince Jul 31, 2016 Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
St Jude Hospital Inc Past Accepting new patients
Alamitos Beach Cities Podiatry Group Foot & Ankle Surgery Past Accepting new patients
Alamitos Podiatry Group Foot & Ankle Surgery Past Accepting new patients

Locations

5406 E Village Rd
Long Beach, CA 90808
Phone (562) 421-3747

304 Cherry Ave
Long Beach, CA 90802
Phone (562) 433-0478

Organizations & group practices 8

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 1

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": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454889600000",
    "number": "1912975434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 CHERRY AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908023848",
            "telephone_number": "562-433-0478",
            "fax_number": "562-438-3690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 CHERRY AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908023848",
            "telephone_number": "562-433-0478",
            "fax_number": "562-438-3690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "RICHARD",
        "middle_name": "HENRY",
        "name_suffix": "III",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2016-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "CA",
            "license": "E3954",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3954",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E-3954",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.