Gradie B. Mixon Jr., MD
NPI 1164455267ActiveIndividual· Anesthesiology· Modesto, CA
Anesthesiology (MD) in Modesto, California, trained at Loma Linda University School of Medicine (class of 1980). Enrolled in Medicare as practitioner - anesthesiology.
Overview
| NPI | 1164455267 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Jul 9, 2006 |
| Last updated in NPPES | Feb 11, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology Primary | 207L00000X | G57069 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Anesthesiology (CA) |
|---|
Education and affiliations
| Medical school | Loma Linda University School of Medicine |
|---|---|
| Graduation year | 1980 |
| Medicare specialty | Anesthesiology |
| Telehealth | Offers telehealth |
Medical group
- Permanente Medical Group IncOakland, CA · 10,996 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other anesthesiologists in Modesto
- 1538102884
- 1932660693
- 1013951425
- 1013976745
- 1043237530
- 1073555017
- 1114949922
- 1225096126
- 1306805106
- 1336107481
- 1467478909
- 1528177276
All 98 anesthesiologists in Modesto · All anesthesiologists in California