GERIATRIC HEALTHCARE INC
NPI 1306835731
Nurse Practitioner in Cayucos, CA

Q: What is Geriatric Healthcare Inc's NPI number?

The NPI number for Geriatric Healthcare Inc is 1306835731. It was assigned to this organization in the NPPES registry on October 18, 2005.

Q: What is Geriatric Healthcare Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since October 18, 2005

278 HACIENDA DR, CAYUCOS, CA 93430(805) 748-8897(805) 434-0308 Get Directions Write a Review

NPPES record last updated: September 14, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Geriatric Healthcare Inc NPPES

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

GERIATRIC HEALTHCARE INC (NPI 1306835731) is a healthcare organization registered as a nurse practitioner in Cayucos, California and active in the NPI registry since October 2005. The organization lists Mark Richard Gruidl, President, as its authorized official.

NPPES Registry Identity

NPI1306835731

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameGERIATRIC HEALTHCARE INC

Location Address278 HACIENDA DRCayucos, CA 93430-1550

Mailing AddressPo Box 2677Atascadero, CA 93423-2677 · (805) 748-8897 · Fax (805) 434-0308

Phone(805) 748-8897

Fax(805) 434-0308

Organization SubpartNo

Authorized OfficialMark Richard GruidlPresident · (805) 748-8897

Enumeration DateOctober 18, 2005

Last NPPES UpdateSeptember 14, 2016

✔ NPI 1306835731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · W16850

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

278 HACIENDA DR, Cayucos, CA 93430

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Other Identifiers 1

Medicare ID-Type UnspecifiedW16850

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Geriatric Healthcare Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Geriatric Healthcare Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mark Gruidl, NP

Nurse Practitioner

NPI 1427045848

1020 FAVA CT
Templeton, CA 93465

(805) 748-8897

✔ PECOS✔ Accepts Medicare11 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Geriatric Healthcare Inc's NPI number?

The NPI number for Geriatric Healthcare Inc is 1306835731. It was assigned to this organization in the NPPES registry on October 18, 2005.

Where is Geriatric Healthcare Inc located?

Geriatric Healthcare Inc is located at 278 Hacienda Dr, Cayucos, CA 93430. The listed phone number is (805) 748-8897.

What is Geriatric Healthcare Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Geriatric Healthcare Inc enrolled in Medicare?

Yes. Geriatric Healthcare Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Geriatric Healthcare Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Geriatric Healthcare Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Geriatric Healthcare Inc was last updated on September 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.