Individual provider

David Granovetter, MD

Addiction Psychiatry Physician Medicare enrolled

David Granovetter, MD is an Addiction Psychiatry Physician in San Jose, CA, registered under NPI 1619053121. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 6203 SAN IGNACIO AVE STE 110, San Jose, CA 95119. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

6203 SAN IGNACIO AVE STE 110, San Jose, CA 95119 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
G67173 CA Addiction Psychiatry Physician primary

This provider holds licence G67173 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Addiction Medicine
PAC ID
4587843354
Enrollment ID
I20110125001282

Medicare enrolment is recorded as approved under the provider type Practitioner - Addiction Medicine. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Addiction Psychiatry covers

Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. NUCC Health Care Provider Taxonomy, code 2084P0802X
Allopathic & Osteopathic Physicians Psychiatry & Neurology Addiction Psychiatry

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1619053121 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateOct 27, 2006
Last updatedMar 12, 2026
StatusActive
Sole proprietorYes
CredentialMD
Practice address 6203 SAN IGNACIO AVE STE 110
San Jose, CA 95119
(660) 245-2858
Other identifiers 00G671730 · Medicaid (CA)
This record was updated on Mar 12, 2026, which is recent enough that the contact details are likely still accurate.

Number check

1619053121 passes the NPI check digit test The final digit 1 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 6 1 9 0 5 3 1 2
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 6 2 9 0 5 6 1 4

Sum = 59 · next multiple of 10 = 60 · check digit = 1 · actual last digit = 1

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1619053121?
NPI 1619053121 is the National Provider Identifier assigned to David Granovetter, MD in San Jose, CA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Addiction Psychiatry cover?
Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.
How do I contact David Granovetter, MD?
The phone number on file with NPPES is (660) 245-2858, last updated Mar 12, 2026. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does David Granovetter, MD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1619053121 a valid number?
Yes. 1619053121 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.