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Contact Information

RICHARD I. GRACER, MD, INC.
4 CROW CANYON CT
SUITE 210
SAN RAMON, CA94583
 Phone: 925-366-4860
 Fax: 925-886-4466
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Addiction (Substance Use Disorder)

101YA0400X
 

Adult Medicine

207QA0505X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for RICHARD I. GRACER, MD, INC.

NPI Number 1497932321
LBN Legal business name RICHARD I. GRACER, MD, INC.
Authorized official RICHARD GRACER - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/22/2008
Last updated 02/05/2019 - About 7 years ago
Identifiers
CA License # G35367
CA Other ZZZ07604Z BLUE SHIELD PIN
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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