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GRADY LYNN JETER M.D.
NPI 1760584510
Specialist in San Jose, CA

Active since September 02, 2006
2430 SAMARITAN DR, SAN JOSE, CA 95124(408) 559-4343(408) 371-6387 Get Directions Write a Review

NPPES record last updated: November 4, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grady Lynn Jeter M.d. NPPES

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

GRADY LYNN JETER M.D. (NPI 1760584510) is an individual specialist in San Jose, California, licensed in California (C30088) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1760584510
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameGRADY LYNN JETERCredential: M.D.
Location Address2430 SAMARITAN DRSan Jose, CA 95124-3907
Mailing Address2430 Samaritan DrSan Jose, CA 95124-3907 · (408) 559-4343 · Fax (408) 371-6387
Phone(408) 559-4343
Fax(408) 371-6387
Sole ProprietorYes
Enumeration DateSeptember 2, 2006
Last NPPES UpdateNovember 4, 2010
✔ NPI 1760584510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · C30088
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2430 SAMARITAN DR, San Jose, CA 95124
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Other Identifiers 2

Medicare UPINA34117CA
Medicare UPINDI883ZCA

Other Providers at the Same Location NPPES 9

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

LEO B SEMKIW M.D.
Specialist
2430 SAMARITAN DR
SAN JOSE, CA 95124
Santa Clara County (408) 371-5300
SAN JOSE SPORTS MEDICINE & ORTHOPEDICS
Specialist
2430 SAMARITAN DR
SAN JOSE, CA 95124
Santa Clara County (408) 371-5300
ORTHOSYNTHESIS INC.
Orthopaedic Surgery
2430 SAMARITAN DR
SAN JOSE, CA 95124
Santa Clara County (408) 559-4343
DEBORAH A. FARYNIARZ MD
Orthopaedic Surgery (Sports Medicine)
2430 SAMARITAN DR
SAN JOSE, CA 95124
Santa Clara County (408) 559-3888
SVETLANA DANI MD INC
Family Medicine (Sports Medicine)
2430 SAMARITAN DR
SAN JOSE, CA 95124
Santa Clara County (408) 559-3888
BASS MEDICAL GROUP
Orthopaedic Surgery (Hand Surgery)
2430 SAMARITAN DR
SAN JOSE, CA 95124
Santa Clara County (408) 358-3555
MARTIN TRIEB, M.D., INC.
Specialist
2430 SAMARITAN DR
SAN JOSE, CA 95124
Santa Clara County (408) 371-6771
PAMELA MEHTA M.D.
Orthopaedic Surgery
2430 SAMARITAN DR
SAN JOSE, CA 95124
Santa Clara County (408) 471-7138

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 Grady Jeter's NPI number?

The NPI number for Grady Jeter is 1760584510. It was assigned to this individual provider in the NPPES registry on September 2, 2006.

Where is Grady Jeter located?

Grady Jeter practices at 2430 Samaritan Dr, San Jose, CA 95124. The listed phone number is (408) 559-4343.

What is Grady Jeter's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Grady Jeter was last updated on November 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.