Lynette R Grandison
MD | Pediatrics | Female
Lynette R Grandison, MD is a Ceres, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Lynette R Grandison is
2516 E Whitmore Ave, Ceres, California - 95307-2645. She can be contacted on phone at
209-538-1733.
Lynette R Grandison is a sole proprietor of her business.
NPI number (Unique professional ID) for Lynette R Grandison is
1821048240 which was assigned by NPPES on 10 May, 2006 and it was last updated on 17 Jun, 2010.
Lynette R Grandison license number is
G77970 for Pediatrics (208000000X) in California.
Lynette R Grandison is a pediatrician who 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.
Complete Profile:
Lynette R Grandison basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Lynette R Grandison |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Lynette R Grandison address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2516 E Whitmore Ave
Ceres, CA, 95307-2645
United States |
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| Phone Number : | 209-538-1733 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1821048240 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 10 May, 2006 |
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| Last Updated On : | 17 Jun, 2010 |
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Medicare Participation:
Lynette R Grandison participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 3476778689 |
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| Medicare Enrollment ID : | I20140702000272 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Creighton University School Of Medicine |
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| Graduation Year : | 1992 |
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| Accepts Medicare? | Yes. Lynette R Grandison accepts medicare insurance. |
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Group Practice Association:
Lynette R Grandison is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Lynette R Grandison is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Sutter Valley Medical Foundation | 9830094515 | 1657 | 1011 Sylvan Ave
Suite C
Modesto, CA - 953501693
Ph: 2095504780 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lynette R Grandison are as mentioned. Primary taxonomy code for Lynette R Grandison, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | Yes | G77970 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Lynette R Grandison such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 00G779700 | MEDICAID | CA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 600 Coffee Rd
Modesto, CA, 95355-4201
United States |
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| Phone Number : | 209-524-1211 |
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Business Location:
Patients can refer following map for directions to
Lynette R Grandison practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.