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Ethan D. Granger

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Where to find Ethan D. Granger

About Ethan Granger

Listed in the NPI registry as a physician assistant, Ethan D. Granger practices in La Jolla, CA. NPI 1457048324 identifies this record in the national registry.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

School Other Graduated: 2024

Specialty

Credentials & Licensing

NM · Physician AssistantPhysician Assistant Board
No. 67139CurrentExpires Jun 2027Since 2025
NM licenceAs reported to the NPI registry
No. PA2024-0038As reported
NPINational Provider Identifier
1457048324Issued 2023

Snapshot · verify with the board ↗

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What kind of doctor is Ethan D. Granger?

Ethan D. Granger is a physician assistant in La Jolla, CA. That is the designation recorded for this NPI in the federal registry.

NPI registry

What is Ethan D. Granger's address?

Ethan D. Granger is listed at 9300 Campus Point Dr, La Jolla, CA 92037. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Ethan D. Granger?

The number on file is (800) 926-8273. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Ethan D. Granger's NPI number?

Ethan D. Granger's National Provider Identifier is 1457048324. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Ethan D. Granger train?

Ethan D. Granger attended Other, graduating in 2024. This comes from the CMS National Downloadable File.

CMS public data

How long has Ethan D. Granger been practicing?

Ethan D. Granger has 2 years experience. Calculated from a graduation year of 2024, reported in the CMS National Downloadable File.

CMS public data

Has Ethan D. Granger confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Ethan D. Granger. If this is you, claiming it is free.

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