Kevin Grierson, DPM

Public-record details

Address

2281 Cleveland Ave, Santa Rosa, CA 95403

Phone

(707) 544-3337

Listed under

Individual podiatrists, Foot and ankle surgery (registered), Telehealth (Medicare claims)

NPI

1154770048

NPI status

Active in the NPPES registry

Provider type

Individual provider

Registered specialty (self-reported taxonomy)

Podiatrist, Foot & Ankle Surgery (213ES0103X)

Credentials listed

DPM

License number on NPI record

0116029440 (VA)

NPI first issued

Jun 10, 2016

Years since NPI first issued

10 years (since 2016)

License state on NPI record

VA

NPI record last updated

Jun 25, 2019

Medicare enrollment (CMS)

Enrolled: listed in CMS Doctors & Clinicians

Medicare assignment (CMS)

Accepts the Medicare-approved amount as payment in full

Telehealth (CMS)

Medicare claims show telehealth services

Professional school graduation (CMS)

2016 (10 years ago)

Professional school (CMS)

California School of Podiatric Medicine

Medicare group practice (CMS)

Providence Medical Foundation (1,466 clinicians)

Practice locations on file with Medicare (CMS)

2

Other practice locations (NPPES)

1: Falls Church, VA

Other podiatry listings at this street address

3

NPI 1154770048 is active in the federal NPPES registry (CMS) with Podiatrist, Foot & Ankle Surgery as its self-reported primary taxonomy; license 0116029440 (VA) is listed on the record. CMS Doctors & Clinicians lists this clinician as enrolled in Medicare. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-10-16.

Public record, not an endorsement. This listing was compiled from public records as of 2026-10-16 and may be incomplete or out of date. Podiatrist Index does not vet, employ, recommend or guarantee podiatry practices; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Podiatrist Index is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error

What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an individual clinician. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Podiatrists hold a Doctor of Podiatric Medicine (DPM) degree and are licensed by each state to treat the foot and ankle; the scope, especially for ankle surgery, varies by state. A registered specialty is not board certification. Confirm the license with the state podiatry board and board certification with the American Board of Foot and Ankle Surgery or the American Board of Podiatric Medicine.

View NPI 1154770048 in the official registry ↗

Practices and podiatrists at this address

Other listings in this directory whose NPI record gives the same street address and ZIP. A shared address usually means a shared practice or building; it does not by itself show who works with whom.

• Sagar Shah, DPM
• Carl Larusson, DPM
• Walter D'costa, DPM