GRANT NYBAKKEN M.D.
NPI 1104088400
Pathology - Clinical Pathology/Laboratory Medicine in South San Francisco, CA

Q: What is Grant Nybakken's NPI number?

The NPI number for Grant Nybakken is 1104088400. It was assigned to this individual provider in the NPPES registry on June 27, 2008.

Q: What is Grant Nybakken's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Pathology/Laboratory Medicine, with taxonomy code 207ZP0105X.

Q: When was this NPI record last updated?

The NPPES record for Grant Nybakken was last updated on November 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.

Active since June 27, 2008PECOS EnrolledAccepts Medicare Assignment

383 E GRAND AVE STE A, SOUTH SAN FRANCISCO, CA 94080(650) 616-2951 Get Directions Write a Review

NPPES record last updated: November 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 22, 2024, Dec 15, 2021 (2 updates tracked since 2021).

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About Grant Nybakken M.d. NPPES

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

GRANT NYBAKKEN M.D. (NPI 1104088400) is an individual clinical pathology/laboratory medicine provider in South San Francisco, California, licensed in Pennsylvania (MT193042) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS and is a graduate of Washington University School Of Medicine (2008).

NPPES Registry Identity

NPI1104088400

Entity TypeIndividualMale

Primary Taxonomy207ZP0105X

Provider Legal NameGRANT NYBAKKENCredential: M.D.

Location Address383 E GRAND AVE STE ASouth San Francisco, CA 94080-6234

Mailing Address383 E Grand Ave Ste ASouth San Francisco, CA 94080-6234

Phone(650) 616-2951

Sole ProprietorNo

Medical School CMSWashington University School Of MedicineGraduated 2008

Enumeration DateJune 27, 2008

Last NPPES UpdateNovember 22, 20242 updates tracked since enumeration

NPPES CertifiedNovember 22, 2024

✔ NPI 1104088400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Clinical Pathology/Laboratory MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0105X

License✔ Licensed in PA · MT193042

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

383 E GRAND AVE STE A, South San Francisco, CA 94080

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Grant Nybakken M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022230960

PECOS Enrollment IDI20141110001881

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 94080 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

$153.83 typical visit price

range $69.00 – $202.35

Typical copayment $38.45 (range $17.25 – $50.58)

Most-billed visit code 99204

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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

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

DR. SEBASTIAN JOHNSON SASU M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

383 E GRAND AVE STE A
SOUTH SAN FRANCISCO, CA 94080

San Mateo County (650) 616-2951

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 Grant Nybakken's NPI number?

The NPI number for Grant Nybakken is 1104088400. It was assigned to this individual provider in the NPPES registry on June 27, 2008.

Where is Grant Nybakken located?

Grant Nybakken practices at 383 E Grand Ave Ste A, South San Francisco, CA 94080. The listed phone number is (650) 616-2951.

What is Grant Nybakken's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Pathology/Laboratory Medicine, with taxonomy code 207ZP0105X.

Is Grant Nybakken enrolled in Medicare?

Yes. Grant Nybakken is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Grant Nybakken was last updated on November 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.