Carlos Rueda Gracia, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

G45842 Issued in CA

Practice address

5565 W Las Positas Blvd
Suite 220
Pleasanton, CA 94588-4001

Phone

(925) 416-3676

NPI assigned

Jul 24, 2006

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

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Valleycare Medical Foundation Inc

  • Internal Medicine Physician
  • Pleasanton, CA
  • NPI 1356598825

  Surgery

  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417392000000",
    "number": "1972525053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5565 W LAS POSITAS BLVD",
            "address_2": "SUITE 220",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945884001",
            "telephone_number": "925-416-3676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5565 W LAS POSITAS BLVD",
            "address_2": "SUITE 220",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945884001",
            "telephone_number": "925-416-3676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRACIA",
        "first_name": "CARLOS",
        "middle_name": "RUEDA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2014-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G45842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G458420",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Gottfred, M.A.
• Alejandra Gouch
• Akshatha Kiran Gowdar, MD
• John Michael Gowey, DDS
• Minakshi A Goyal, MSW, LCSW
• Alicia Olivia Grajeda
• Granite Financial, Inc.
• Joseph Martin Grant, M.D.
• Thomas J Gray, PT
• Alicia Nicole Green

• Surgery Physician in Pleasanton, CA
• Providers in Pleasanton, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; 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.