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

Grace Ann Carlson, MD

Individual provider Internal Medicine Physician · NPI 1558514109

Grace Ann Carlson, MD is an Internal Medicine in Berkeley, California. Qualified in 2004, 22 years ago. Practices with Sutter Bay Medical Foundation, a 3,762-clinician group and accepts Medicare assignment. Licensed in California and Illinois.

Years since qualifying
22
Licensed in
CA, IL
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2450 Ashby Ave Rm 5505
Berkeley, CA 94705-2067
Phone: (510) 204-1893
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A115481 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence AE38738983476 (IL)

Record details

NPI number1558514109
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 28, 2008
Last updated in NPPESNovember 9, 2016

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Sutter Bay Medical Foundation — 3762 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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