MEDICARE: GYANAI GRANT

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	225400000X	Rehabilitation Practitioner		CA

General Provider Information

NPI Number	:	1780536169
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GYANAI GRANT

Provider Business Mailing Address
First Line	:	3400 RICHMOND PKWY APT 2415
Second Line	:
City	:	SAN PABLO
State	:	CA
Zip	:	94806-5229
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3400 RICHMOND PKWY APT 2415
Second Line	:
City	:	SAN PABLO
State	:	CA
Zip	:	94806-5229
Country	:	US
Telephone Number	:	510-860-0929
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2026
Last Update Date	:	02/18/2026

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Directions to “ GYANAI GRANT ” Practice Location

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