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

Grant Richardson

Individual provider Adult Medicine Physician · NPI 1629643515

Grant Richardson is a Family Practice in Pinole, California. Graduated from Lake Erie Col of Osteo Med at Seton Hill Univ in 2021, 5 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
5
Trained at
Lake Erie Col of Osteo Med at Seton Hill Univ
Licensed in
CA
In the registry since
2021

Practice location Address checks out

1301 Pinole Valley Rd
Pinole, CA 94564-1384
Phone: (510) 243-4000
Show map & directions

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

Specialties & licences

Adult Medicine Physician (primary) Taxonomy 207QA0505X · Licence 20A22558 (CA)

Record details

NPI number1629643515
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 24, 2021
Last updated in NPPESSeptember 11, 2024
Certification dateSeptember 11, 2024
Mailing address1699 Market St Apt 12, San Francisco, CA 94103-1244

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolLAKE ERIE COL OF OSTEO MED AT SETON HILL UNIV
Graduated 2021 (5 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services