1. Home
  2. Directory
  3. California
  4. Pinole
  5. Family Medicine
  6. NPI Profile

GRANT RICHARDSON
NPI 1629643515
Family Medicine - Adult Medicine in Pinole, CA

Active since May 24, 2021PECOS EnrolledAccepts Medicare Assignment
1301 PINOLE VALLEY RD, PINOLE, CA 94564(510) 243-4000 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2024, May 24, 2021 (2 updates tracked since 2021).

About Grant Richardson NPPES

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

GRANT RICHARDSON (NPI 1629643515) is an individual adult medicine provider in Pinole, California, licensed in California (20A22558) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS and is a graduate of Lake Erie Col Of Osteo Med At Seton Hill Univ (2021).

NPPES Registry Identity

NPI1629643515
Entity TypeIndividualMale
Primary Taxonomy207QA0505X
Provider Legal NameGRANT RICHARDSON
Location Address1301 PINOLE VALLEY RDPinole, CA 94564-1384
Mailing Address1699 Market St Apt 12San Francisco, CA 94103-1244 · (724) 413-5805
Phone(510) 243-4000
Sole ProprietorNo
Medical School CMSLake Erie Col Of Osteo Med At Seton Hill UnivGraduated 2021
Enumeration DateMay 24, 2021
Last NPPES UpdateSeptember 11, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2024
✔ NPI 1629643515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in CA · 20A22558
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
1301 PINOLE VALLEY RD, Pinole, CA 94564
Open in Google Maps ↗

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 Richardson 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 ID7416358130
PECOS Enrollment IDI20241009004448
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 94564 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
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 18

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

ROTHA SAMOK
Pharmacist
1301 PINOLE VALLEY RD
PINOLE, CA 94564
Contra Costa County (510) 243-4311
HEALTHY LIFESTYLES AND PRESCRIPTIVE EXERCISE
Neuromusculoskeletal Medicine & OMM
1301 PINOLE VALLEY RD
PINOLE, CA 94564
Contra Costa County (925) 243-4100
TORI VOONG
Pharmacist
1301 PINOLE VALLEY RD
PINOLE, CA 94564
Contra Costa County (510) 243-4311
SEMERA SHEMSU MD
Family Medicine
1301 PINOLE VALLEY RD
PINOLE, CA 94564
Contra Costa County (510) 243-4000
JESSAMINE JOY FAUSTINO-WONG MD
Pediatrics
1301 PINOLE VALLEY RD
PINOLE, CA 94564
Contra Costa County (510) 243-4200
DR. FAITH CHERYLE ABALOS MERINO MD
Family Medicine
1301 PINOLE VALLEY RD
PINOLE, CA 94564
Contra Costa County (510) 243-4100
CHRISTINE CHOI
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1301 PINOLE VALLEY RD
PINOLE, CA 94564
Contra Costa County (510) 757-2392
MANDA JULIEANNE NOTZON M.D.
Obstetrics & Gynecology
1301 PINOLE VALLEY RD, WOMEN'S HEALTH
PINOLE, CA 94564
Contra Costa County (510) 243-4412

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 Richardson's NPI number?

The NPI number for Grant Richardson is 1629643515. It was assigned to this individual provider in the NPPES registry on May 24, 2021.

Where is Grant Richardson located?

Grant Richardson practices at 1301 Pinole Valley Rd, Pinole, CA 94564. The listed phone number is (510) 243-4000.

What is Grant Richardson's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Grant Richardson enrolled in Medicare?

Yes. Grant Richardson 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 Richardson was last updated on September 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.