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

Dr. Konstantin Vladimir Grigoryan, MD

Individual provider MOHS-Micrographic Surgery Physician · NPI 1881076313

Dr. Konstantin Vladimir Grigoryan, MD is a Micrographic Dermatologic Surgery (Mds) in Roseville, California. Qualified in 2015, 11 years ago. Practices with Sutter Valley Medical Foundation, a 2,464-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California and Minnesota.

Years since qualifying
11
Licensed in
CA, MN
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2261 Douglas Blvd
Roseville, CA 95661-3831
Phone: (916) 791-0920
Fax: (916) 797-4767
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 10535 Hospital Way, Mather, CA 95655-4200 — (916) 843-7000
  • 330 Brookline Ave, Boston, MA 02215-5400 — (617) 667-7000

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence A169957 (CA)
Dermatology Physician Taxonomy 207N00000X · Licence 60753 (MN)

Record details

NPI number1881076313
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 21, 2015
Last updated in NPPESSeptember 30, 2025
Certification dateSeptember 30, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMICROGRAPHIC DERMATOLOGIC SURGERY (MDS)
Also practisesDERMATOLOGY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Sutter Valley Medical Foundation — 2464 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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