1. Home
  2. Directory
  3. California
  4. Roseville
  5. Pediatrics
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DAVID W GRATTENDICK MD
NPI 1700997053
Pediatrics in Roseville, CA

Active since August 31, 2006PECOS Enrolled
3100 DOUGLAS BLVD, ROSEVILLE, CA 95661(916) 774-8500(916) 773-9223 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About David W Grattendick Md NPPES

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

DAVID W GRATTENDICK MD (NPI 1700997053) is an individual pediatrics provider in Roseville, California, licensed in California (A53186) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Roseville.

NPPES Registry Identity

NPI1700997053
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDAVID W GRATTENDICKCredential: MD
Location Address3100 DOUGLAS BLVDRoseville, CA 95661-3866
Mailing AddressPo Box 255228Sacramento, CA 95865-5228 · (800) 470-0071 · Fax (916) 854-6769
Phone(916) 774-8500
Fax(916) 773-9223
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateSeptember 29, 2026
NPPES CertifiedSeptember 29, 2026
✔ NPI 1700997053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A53186
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3100 DOUGLAS BLVD, Roseville, CA 95661
Open in Google Maps ↗

Secondary Practice Location 1

Location 12050 Blue Oaks BlvdRoseville, CA 95747-6506 · Phone (916) 910-2400 · Fax (916) 910-2401

Other Identifiers 1

Medicaid00A531860CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David W Grattendick 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 95661 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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 20

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

JENINA SEGALE RD
Dietitian, Registered
3100 DOUGLAS BLVD
ROSEVILLE, CA 95661
Placer County (916) 774-8885
ANN MARIE WINTERTON LCSW
Dietitian, Registered
3100 DOUGLAS BLVD, SUITE 204
ROSEVILLE, CA 95661
Placer County (916) 774-8885
MARIA-DOLORES CERQUEIRA HANEFFANT PA
Physician Assistant (Medical)
3100 DOUGLAS BLVD
ROSEVILLE, CA 95661
Placer County (916) 774-8300
RUPINDER TUMBER RD
Dietitian, Registered
3100 DOUGLAS BLVD
ROSEVILLE, CA 95661
Placer County (916) 774-8885
MRS. GINA M WHITELEY I RD, CDE
Dietitian, Registered
3100 DOUGLAS BLVD
ROSEVILLE, CA 95661
Placer County (916) 865-1140
DR. KENNY BAINS M.D.
Family Medicine
3100 DOUGLAS BLVD
ROSEVILLE, CA 95661
Placer County (916) 774-8300
PATRICIA MARIE DIXSON FNP
Nurse Practitioner (Family)
3100 DOUGLAS BLVD, SUITE 325
ROSEVILLE, CA 95661
Placer County (916) 241-9844
DR. ROGER ANG M.D.
Family Medicine
3100 DOUGLAS BLVD
ROSEVILLE, CA 95661
Placer County (916) 774-8300

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 David Grattendick's NPI number?

The NPI number for David Grattendick is 1700997053. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is David Grattendick located?

David Grattendick practices at 3100 Douglas Blvd, Roseville, CA 95661. The listed phone number is (916) 774-8500.

What is David Grattendick's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is David Grattendick enrolled in Medicare?

Yes. David Grattendick is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for David Grattendick was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.