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John Lillo, PA
NPI 1790972644 · Physician Assistant · Grants, NM
John Lillo, PA is a Physician Assistant provider in Grants, NM (NPI 1790972644).
Provider details
- NPI number
- 1790972644
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 94PA31 (NM)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Lobo Canyon Rd
Western New Mexico Corrections
Grants, NM 87020-0250
Phone: (505) 876-8360
Fax: (505) 876-8357
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 250
Grants, NM 87020-0250
Registry dates
- Enumerated
- 2007-09-25
- Last updated
- 2007-09-25
Frequently asked questions
- What is John Lillo's NPI number?
- John Lillo's National Provider Identifier (NPI) is 1790972644, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Lillo's specialty?
- John Lillo is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is John Lillo located?
- John Lillo's practice location on file with NPPES is Lobo Canyon Rd, Grants, NM 87020-0250.
- What is John Lillo's phone number?
- The practice phone number listed in the NPPES registry for John Lillo is (505) 876-8360.
- Is John Lillo's NPI active?
- Yes — John Lillo's NPI (1790972644) is active in the NPPES registry as of the last update on 2007-09-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.