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PETER PERCY GRANDAW M.D.
NPI 1013900737
Specialist in Redding, CA

Active since August 28, 2005
1892 BUENAVENTURA BLVD, REDDING, CA 96001(530) 243-9478(530) 243-9378 Get Directions Write a Review

NPPES record last updated: December 10, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Peter Percy Grandaw M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PETER PERCY GRANDAW M.D. (NPI 1013900737) is an individual specialist in Redding, California, licensed in California (G79712) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1013900737
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NamePETER PERCY GRANDAWCredential: M.D.
Location Address1892 BUENAVENTURA BLVDRedding, CA 96001-3761
Mailing Address1892 Buenaventura BlvdRedding, CA 96001-3761 · (530) 243-9478 · Fax (530) 243-9378
Phone(530) 243-9478
Fax(530) 243-9378
Sole ProprietorYes
Enumeration DateAugust 28, 2005
Last NPPES UpdateDecember 10, 2008
✔ NPI 1013900737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · G79712
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1892 BUENAVENTURA BLVD, Redding, CA 96001
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Other Identifiers 2

Medicare UPING24056CA
Medicaid00G797120CA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter Grandaw's NPI number?

The NPI number for Peter Grandaw is 1013900737. It was assigned to this individual provider in the NPPES registry on August 28, 2005.

Where is Peter Grandaw located?

Peter Grandaw practices at 1892 Buenaventura Blvd, Redding, CA 96001. The listed phone number is (530) 243-9478.

What is Peter Grandaw's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Peter Grandaw was last updated on December 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.