Granite Hills Healthcare

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

090000097 Issued in CA

Legal business name

GRANITE HILLS HEALTHCARE

Practice address

9474 Chesapeake Dr
Suite 907
San Diego, CA 92123-1047

Phone

(858) 571-4390

Fax

(858) 571-4393

NPI assigned

Dec 12, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Michael John Baker, CPA

Title

Controller

Phone

(858) 571-4390

Specialties & licenses 1

Addresses

Other names 1

• Granite Hills Convalescent Hospital Doing business as

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

{
    "created_epoch": "1323648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323648000000",
    "number": "1164790689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9474 CHESAPEAKE DR",
            "address_2": "SUITE 907",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231047",
            "telephone_number": "858-571-4390",
            "fax_number": "858-571-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9474 CHESAPEAKE DR",
            "address_2": "SUITE 907",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231047",
            "telephone_number": "858-571-4390",
            "fax_number": "858-571-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANITE HILLS HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-12",
        "last_updated": "2011-12-12",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "858-571-4390",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "090000097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Granite Hills Convalescent Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joanne Margaret Graney, FNP-C
• Aaron Granfors
• Eric L. Granholm II, PH.D.
• Devon Granieri
• Alana Marie Granillo
• Debra R Grannick, PHARM.D.
• Richard Lynn Granstaff II, LPCC, CATC-IV
• Grant Chiropractic & Sports Rehab, Inc
• Anna Dewey Grant, PT, DPT, OCS
• Avery Grant

• Skilled Nursing Facility in San Diego, CA
• Providers in San Diego, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.