Individual provider Active NPI

Jennifer S Graves, MD

  • Neurology Physician
  • San Diego, CA
National Provider Identifier
1992849863
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A116811 Issued in CA
Practice address
8001 Frost St
San Diego, CA 92123
Phone
(858) 966-5819
NPI assigned
Feb 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A116811 CA Primary

Addresses

Primary practice location

8001 Frost St
San Diego, CA 92123

Mailing address

3020 Childrens Way # Mc5009
San Diego, CA 92123-4223
Phone (858) 966-5819

Other practice location 1

400 Parnassus Ave
Eighth floor, UCSF Multiple Sclerosis Clinic
San Francisco, CA 94143-2202
Phone (415) 353-2069

Other practice location 2

4510 Executive Dr Ste 325
San Diego, CA 92121-3069
Phone (858) 543-8540

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
I20110708000251 CA Practitioner - Neurology 3274711585 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Texas Southwestern Medical School at Dallas, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regents of the University of CaliforniaGroup PAC ID 3577476761, 2,047 clinicians

Practice addresses (Care Compare)

200 W Arbor Dr
San Diego, CA 92103-9000
Phone (858) 249-6753

Hospital & facility affiliations

  • UC San Diego Health Hillcrest - Hillcrest Med Ctr Hospital, San Diego, CA, CCN 050025

Merit-based Incentive Payment System (MIPS)

Final score
90.77 of 100Reported as group
Quality
84.13
Promoting interoperability
100
Improvement activities
40
Cost
73.88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
116811CAMDMental Health Counselor
A116811CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rady Children'S Hospital San Diego CurrentSince Oct 3, 2018 Accepting new patients
Regents of the University of California Neurology CurrentSince Jul 1, 2018 Accepting new patients
Regents of the University of California CurrentSince Jul 1, 2018 Accepting new patients
Rady Children'S Hospital San Diego CurrentSince Oct 3, 2018 Accepting new patients
Regents of the University of California Ucsd Head and Neck Surgery Past Accepting new patients
Marilyn Kaufhold, M.D., a Medical Corporation Past Accepting new patients
University of California San Francisco Past Accepting new patients
Regents of the University of California Past Accepting new patients

Locations

25170 Hancock Ave
Murrieta, CA 92562
Phone (858) 757-3277

4510 Executive Dr
Ste 201
San Diego, CA 92121
Phone (858) 457-7994

4250 1st Ave
San Diego, CA 92103
Phone (415) 290-8175

3020 Childrens Way
#5003
San Diego, CA 92123
Phone (858) 309-6300

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

3020 Childrens Way
#5009
San Diego, CA 92123
Phone (858) 966-5819

4510 Executive Dr
San Diego, CA 92121
Phone (858) 450-5000

6655 Alvarado Rd
San Diego, CA 92120
Phone (619) 229-3130

4510 Executive Dr
Ste 325
San Diego, CA 92121
Phone (858) 543-8540

3020 Childrens Way
San Diego, CA 92123
Phone (858) 966-5841

8001 Frost St
San Diego, CA 92123
Phone (858) 966-5819

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": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1992849863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 CHILDRENS WAY # MC5009",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234223",
            "telephone_number": "858-966-5819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 FROST ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92123",
            "telephone_number": "858-966-5819"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Parnassus Ave",
            "address_2": "Eighth floor, UCSF Multiple Sclerosis Clinic",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941432202",
            "country_code": "US",
            "telephone_number": "415-353-2069",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4510 Executive Dr Ste 325",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921213069",
            "country_code": "US",
            "telephone_number": "858-543-8540",
            "fax_number": "858-657-8814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "JENNIFER",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A116811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.