BILLY D GRAHAM P.A.-C. NPI 1750479374

NPI Information

  • NPI: 1750479374
  • Provider Name: BILLY D GRAHAM, P.A.-C.
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1 MEDICAL PLAZA DR
    ROSEVILLE, CA
    ZIP 95661
  • Phone: (916) 781-1002

Map and Directions

Get Directions

NPI Details

Billy D Graham, P.A.-C. is a surgical physician assistant in Roseville, CA with 19 years of experience. Billy D Graham, P.A.-C. NPI is 1750479374. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1 MEDICAL PLAZA DR
ROSEVILLE, CA
ZIP 95661
Phone: (916) 781-1002
Fax: (916) 781-1003

The NPI 1750479374 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of lymph nodes of chest cavity using an endoscope (HCPCS:32674)
  • Exam of lung with removal of lung lobe using an endoscope (HCPCS:32663)
  • Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)
  • Initial removal of wedge of lung tissue using an endoscope (HCPCS:32666)
  • Prosthetic repair of shoulder joint, total shoulder (HCPCS:23472)
  • Replacement of knee joint, both sides of knee (HCPCS:27447)

The enumeration date for this NPI number is 10/10/2006 and was last updated on 9/17/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgicalPA15123CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100PA15123MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.