Individual provider Active NPI

Kaitlin Amanda Jones-Grilli, PA-C

  • Physician Assistant
  • Orange, CA
National Provider Identifier
1134611320
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA55731 Issued in CA
Practice address
363 S Main St Ste 485
Orange, CA 92868-3833
Phone
(714) 835-4800
NPI assigned
Jun 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA55731 CA Primary

Addresses

Primary practice location

363 S Main St Ste 485
Orange, CA 92868-3833

Mailing address

363 S Main St Ste 485
Orange, CA 92868-3813
Phone (714) 835-4800

Other names 1

  • Kaitlin Amanda Jones Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190830002072 CA Practitioner - Physician Assistant 2668701558 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Edward R. Alexson, M.D.,Inc Current Accepting new patients
Onoclogy Network of Orange County a Medical Group Inc PastSince Jan 28, 2024 Accepting new patients

Locations

1401 N Tustin Ave
Ste 220
Santa Ana, CA 92705
Phone (714) 543-6020

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1134611320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 S MAIN ST STE 485",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683813",
            "telephone_number": "714-835-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 S MAIN ST STE 485",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683833",
            "telephone_number": "714-835-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES-GRILLI",
        "first_name": "KAITLIN",
        "middle_name": "AMANDA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-04",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA55731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLIN",
            "last_name": "JONES",
            "middle_name": "AMANDA",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.