DR. GRACE CRITTENDEN MD
NPI 1053343764
Internal Medicine in San Luis Obispo, CA

Active since July 06, 2006PECOS Enrolled
1250 PEACH ST STE B, SAN LUIS OBISPO, CA 93401(805) 543-4043 Get Directions Write a Review

NPPES record last updated: May 14, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 14, 2019, Dec 26, 2015, Sep 29, 2015 (3 updates tracked since 2015).

About Dr. Grace Crittenden Md NPPES

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

DR. GRACE CRITTENDEN MD (NPI 1053343764) is an individual internal medicine provider in San Luis Obispo, California, licensed in California (G65487) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Luis Obispo.

NPPES Registry Identity

NPI1053343764
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. GRACE CRITTENDENCredential: MD
Location Address1250 PEACH ST STE BSan Luis Obispo, CA 93401
Mailing Address1400 E. Church Street, Attention: Medical Staff OfficeSanta Maria, CA 93454 · (805) 739-3954
Sole ProprietorNo
Enumeration DateJuly 6, 2006
Last NPPES UpdateMay 14, 20193 updates tracked since enumeration
NPI 1053343764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · G65487
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1250 PEACH ST STE B, San Luis Obispo, CA 93401

Secondary Practice Location 1

Location 1100 Casa Street, Suite BSan Luis Obispo, CA 93405-1818 · Phone (805) 242-0614 · Fax (805) 457-1550

Other Identifiers 1

OtherCB234888CA · Medicare Id

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Grace Crittenden Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$135.73 typical visit price
range $59.84 – $178.89
Typical copayment $33.93 (range $14.96 – $44.72)
Most-billed visit code 99204
Established Patient
$104.82 typical visit price
range $19.70 – $146.55
Typical copayment $26.20 (range $4.92 – $36.63)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
1250 PEACH ST STE B
SAN LUIS OBISPO, CA 93401
Nurse Practitioner (Adult Health)
1250 PEACH ST STE B
SAN LUIS OBISPO, CA 93401
Family Medicine
1250 PEACH ST STE B
SAN LUIS OBISPO, CA 93401
Internal Medicine
1250 PEACH ST STE B
SAN LUIS OBISPO, CA 93401
Physician Assistant
1250 PEACH ST STE B
SAN LUIS OBISPO, CA 93401
Clinic/Center (Community Health)
1250 PEACH ST STE B
SAN LUIS OBISPO, CA 93401
Family Medicine
1250 PEACH ST STE B
SAN LUIS OBISPO, CA 93401

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 Grace Crittenden's NPI number?

The NPI number for Grace Crittenden is 1053343764. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Grace Crittenden located?

Grace Crittenden practices at 1250 Peach St Ste B, San Luis Obispo, CA 93401. The listed phone number is (805) 543-4043.

What is Grace Crittenden's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Grace Crittenden enrolled in Medicare?

Yes. Grace Crittenden is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Grace Crittenden was last updated on May 14, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.