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

Moremi Abeni Gravesandy Vassall, MD

Individual provider Psychiatry Physician · NPI 1407350663

Moremi Abeni Gravesandy Vassall, MD is a Psychiatry in Emeryville, California. Graduated from Meharry Medical College School of Medicine in 2018, 8 years ago. Practices with Pacific Coast Psychiatric Associates Inc, a 632-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California and Louisiana.

Years since qualifying
8
Trained at
Meharry Medical College School of Medicine
Licensed in
CA, LA
In the registry since
2018
Specialties on file
3
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

1480 64th St Ste 150
Emeryville, CA 94608-2267
Phone: (925) 282-1778
Fax: (415) 296-5299
Show map & directions

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

Additional practice locations (1)

  • 2060 Fairmont Dr, San Leandro, CA 94578-1001 — (510) 346-1300

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence A177163 (CA)
Psychiatry Physician Taxonomy 2084P0800X · Licence 321980 (LA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1407350663
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 22, 2018
Last updated in NPPESMay 10, 2024
Certification dateMay 10, 2024

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolMEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Pacific Coast Psychiatric Associates Inc — 632 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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