Ethan Granger
NPI 1457048324 · Physician Assistant · La Jolla, CA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ethan Granger is a Physician Assistant provider in La Jolla, CA (NPI 1457048324).
Provider details
- NPI number
- 1457048324
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- PA67139 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1 University of New Mexico Msc11 6025Albuquerque, NM 87131-0001Phone: (505) 272-5062
Registry dates
- Enumerated
- 2023-04-20
- Last updated
- 2026-01-28
- Certified
- 2026-01-28
Frequently asked questions
- What is Ethan Granger's NPI number?
- Ethan Granger's National Provider Identifier (NPI) is 1457048324, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ethan Granger's specialty?
- Ethan Granger is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Ethan Granger located?
- Ethan Granger's practice location on file with NPPES is 9300 Campus Point Dr, La Jolla, CA 92037-1300.
- What is Ethan Granger's phone number?
- The practice phone number listed in the NPPES registry for Ethan Granger is (800) 926-8273.
- Does Ethan Granger accept Medicare?
- Ethan Granger is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ethan Granger's NPI active?
- Yes — Ethan Granger's NPI (1457048324) is active in the NPPES registry as of the last update on 2026-01-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.