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

Kevin Grierson, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1154770048

Kevin Grierson, DPM is a Podiatry in Santa Rosa, California. Graduated from California School of Podiatric Medicine in 2016, 10 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
10
Trained at
California School of Podiatric Medicine
Licensed in
VA
In the registry since
2016
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

2281 Cleveland Ave
Santa Rosa, CA 95403-2905
Phone: (707) 544-3337
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3300 Gallows Rd, Falls Church, VA 22042-3307 — (703) 776-6141

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 0116029440 (VA)

Record details

NPI number1154770048
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedJune 10, 2016
Last updated in NPPESJune 25, 2019
Mailing address2281 Cleveland Ave, Santa Rosa, CA 95403-2905

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolCALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated 2016 (10 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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