Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Grant N Ko MD PC

Organization Psychiatry Physician · NPI 1750806865

Grant N Ko MD PC is a Psychiatry Physician in Santa Rosa, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1287 Fulton Rd
Santa Rosa, CA 95401-4923
Phone: (707) 800-7700
Fax: (707) 800-7799
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence G49179 (CA)

Record details

NPI number1750806865
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Grant Ko — Owner · (707) 800-7700
NPI enumeratedAugust 9, 2017
Last updated in NPPESAugust 9, 2017
Mailing addressPo Box 1770, La Mesa, CA 91944-1770

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