Ethan D. Granger
Physician Assistant · La Jolla, CA
Ethan D. Granger is a physician assistant with a practice address in La Jolla, California, and NPI 1457048324, issued on Apr 20, 2023. Check the license (California PA67139, as entered in NPPES) with the California board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Ethan D. Granger
- Primary taxonomy
- Physician Assistant 363A00000X
- License numbers
- PA67139 CA
PA2024-0038 NM
Self-reported in NPPES; status is on the state search - Practice location
- 9300 Campus Point Dr, La Jolla, CA 92037
- Phone
- (800) 926-8273
- Enumerated
- Apr 20, 2023
- Record last updated
- Jan 28, 2026
- Medicare enrollment
- Enrolled (PECOS I20251219000434); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 14,451 in California → Look up another NPI →
Also registered at 9300 Campus Point Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Ethan D. Granger in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich California board licenses this profession
Search for license PA67139Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Regents OF The University OF CaliforniaLa Jolla, CA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Ethan D. Granger among 14,451 physician assistant records in California
Ethan D. Granger is one of 14,451 physician assistant records with a practice address in California. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2023, is newer than 80% of them.
- NPI issued2023 · 80% of these records are older, 13% newer
- In a Medicare fileYes · 75% of these records are
- In the CMS Doctors and Clinicians fileYes · 50% of these records are
- Graduated2024 · median 2018 among the 7,214 with a school on file
- Record last updated2026 · 40% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
136 physician assistant records list a practice address in La Jolla
They are 136 of the 3,648 NPPES records with a practice address in La Jolla, and 14,451 physician assistant records in California.
All 14,451 in California → Every provider in La Jolla → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Heather Bonaguidi, P.A.La Jolla, CA 920371669458691
- Abha Bosworth, PALa Jolla, CA 920371629067053
- Daniel Collins, P.A.La Jolla, CA 920371548247158
- Doris Elias, P.A.La Jolla, CA 920371457338089
- Karen Fetzer, P.A.-C.La Jolla, CA 920371063490761
- Susan Gilroy, P.A.-C.La Jolla, CA 920371992783575
- Madonna Guzman, P.A.-C.La Jolla, CA 920371871571455
- Christy Kerr, P.A.-C.La Jolla, CA 920371184602336
Common questions
What is Ethan D. Granger's NPI number?
Ethan D. Granger's National Provider Identifier (NPI) is 1457048324, issued on Apr 20, 2023. An NPI identifies a provider in billing; it is not a license.
Where is Ethan D. Granger located?
The NPPES record lists a practice address at 9300 Campus Point Dr, La Jolla, CA, 92037. Phone: (800) 926-8273. Providers update this record themselves, so call before visiting.
How can I verify Ethan D. Granger's license?
NPPES lists California license number PA67139, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.