IndividualActive
Charles Grandelli
NPI 1427762376 · Home Health Aide · Sand City, CA
Provider details
- NPI number
- 1427762376
- Entity type
- Individual
- Primary specialty
- Home Health AideNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 274700004 (CA)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
1815 Contra Costa St Ste D
Sand City, CA 93955-3056
Phone: (831) 886-0475
Fax: (831) 855-0157
Approximate (ZIP-level) locationGet directions
Mailing address
11773 Francis Dr
Grass Valley, CA 95949-6681
Registry dates
- Enumerated
- 2023-01-05
- Last updated
- 2023-06-22
- Certified
- 2023-06-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.