Individual provider Active NPI

Douglas Grant, MD

  • Pain Medicine Physician
  • Walnut Creek, CA
National Provider Identifier
1922002542
Registry record updated Oct 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
A78859 Issued in CA
Practice address
450 N Wiget LN
Walnut Creek, CA 94598-2408
Phone
(925) 691-9806
Fax
(925) 691-9807
NPI assigned
Jun 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X A78859 CA Primary

Addresses

Primary practice location

450 N Wiget LN
Walnut Creek, CA 94598-2408

Mailing address

450 N Wiget LN
Walnut Creek, CA 94598-2408
Phone (925) 691-9806

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
I20040406000873 CA Practitioner - Interventional Pain ManagementPractitioner - Physical Medicine and Rehabilitation 6406849447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Physical Medicine and Rehabilitation
Education
University of Texas Southwestern Medical School at Dallas, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrated Pain Management Medical Group IncGroup PAC ID 0547252918, 42 clinicians

Practice addresses (Care Compare)

450 N Wiget LN
Walnut Creek, CA 94598-2408
Phone (925) 482-8151

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.83 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
79.42

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Pain Management Medical Group, Inc. CurrentSince Aug 6, 2003 Accepting new patients
John Muir Health Past Accepting new patients
Alta Bates Summit Medical Center Past Accepting new patients
Sutter Delta Medical Center Past Accepting new patients
Sutter East Bay Medical Foundation Past Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
John Muir Health Past Accepting new patients

Locations

501 S Shore Ctr W
Ste 103F
Alameda, CA 94501
Phone (510) 749-4909

4530 Balfour Rd
Brentwood, CA 94513
Phone 9256919806151

4530 Balfour Rd
Ste E
Brentwood, CA 94513

2485 High School Ave
Ste 101
Concord, CA 94520
Phone (925) 827-0133

2923 Webster St
Ste 202
Oakland, CA 94609
Phone (510) 451-4142

170 Santa Clara Ave
Ste 101
Oakland, CA 94610
Phone 9256919806151

999 N Tustin Ave
Ste 201
Santa Ana, CA 92705
Phone (714) 975-7950

2509 W March Ln
Ste 250
Stockton, CA 95207
Phone (209) 222-6061

450 N Wiget Ln
Walnut Creek, CA 94598
Phone (925) 413-4960

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: dgrant125464@hisp.ehr.sutterhealth.org

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 2

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": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256169600000",
    "number": "1922002542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 N WIGET LN",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982408",
            "telephone_number": "925-691-9806",
            "fax_number": "925-691-9807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N WIGET LN",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982408",
            "telephone_number": "925-691-9806",
            "fax_number": "925-691-9807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "DOUGLAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2009-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": "A78859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.