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RICHARD IAN GRACER MD NPI 1972676930


NPI Information

NPI: 1972676930
Provider Name: RICHARD IAN GRACER, MD
Classification: Pain Medicine - 208VP0014X
Entity Type: Individual

Specialization: Interventional Pain Medicine

PECOS Registration: Yes

Address:
5401 NORRIS CANYON RD
SUITE 102
SAN RAMON, CA
ZIP 94583
Phone: (925) 277-1100
Get Directions

Richard Ian Gracer, MD is an interventional pain medicine pain medicine in San Ramon, CA with 51 years of experience. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. Richard Ian Gracer, MD NPI is 1972676930. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduation Year:1973

The provider's business location address is:

5401 NORRIS CANYON RD
SUITE 102
SAN RAMON, CA
ZIP 94583-406
Phone: (925) 277-1100
Fax: (925) 277-1263

The NPI 1972676930 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 enumeration date for this NPI number is 11/16/2006 and was last updated on 9/26/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QA0401XFamily MedicineAddiction MedicineG35367CALIFORNIANo
2207QA0505XFamily MedicineAdult MedicineG35367CALIFORNIANo
3208VP0014XPain MedicineInterventional Pain MedicineG35367CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A46328MEDICARE UPINCALIFORNIA
2DJ929ZMEDICARE PINCALIFORNIA
3756081627MEDICARE PINCALIFORNIA
400G353670MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAINDIVIDUAL ID

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: 4/28/2024

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.