MEDICARE: CLEVERLY INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician

General Provider Information

NPI Number	:	1669323820
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLEVERLY INC.

Provider Business Mailing Address
First Line	:	30 N GOULD ST STE R
Second Line	:
City	:	SHERIDAN
State	:	WY
Zip	:	82801-6317
Country	:	US
Telephone Number	:	805-792-7688
Fax Number	:

Provider Business Practice Location Address
First Line	:	696 HAMPSHIRE RD STE 100
Second Line	:
City	:	WESTLAKE VILLAGE
State	:	CA
Zip	:	91361-4456
Country	:	US
Telephone Number	:	805-413-7920
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	DR. JOHN FRANK GRAUCH V
Credential	:	MD
Telephone Number	:	805-206-6050

Provider Enumeration Date	:	02/04/2026
Last Update Date	:	02/04/2026

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Directions to “CLEVERLY INC. ” Practice Location

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