Active NPI
Brian Hilton Graham, M.D,
- Hospice and Palliative Medicine (Family Medicine) Physician
- La Jolla, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician
- License
- G67969
- Practice address
- 6455 La Jolla Blvd Unit 315
La Jolla, CA 92037-6638 - Phone
- (619) 665-2159
- Fax
- (858) 836-1159
- NPI assigned
- Apr 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | G67969 | CA | Primary |
Addresses
Primary practice location
6455 La Jolla Blvd Unit 315
La Jolla, CA 92037-6638
Mailing address
6455 La Jolla Blvd, 315
La Jolla, CA 92037-6638
Phone (619) 665-2159
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G67969 | CA | MD | Hospice and Palliative Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NR Medical Associates | Current | Accepting new patients | |
| Mobile Medical Group | Past | Accepting new patients |
Locations
555 Washington St
San Diego, CA 92103
Phone (619) 260-8300
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Hospicemd | Hospice | Contracted Managing Employee | Jan 1, 2021 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Community Based Hospice Care Agency
- San Diego, CA
- NPI 1740830793
Contracted Managing Employee
Organizations & group practices 2
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.
-
- Pulmonary Disease Physician
- San Diego, CA
- NPI 1649601113
-
dba Call Doctor Medical Group
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- San Diego, CA
- NPI 1942447651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277337600000",
"number": "1376665794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6455 LA JOLLA BLVD, 315",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920376638",
"telephone_number": "619-665-2159",
"fax_number": "858-836-1159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6455 LA JOLLA BLVD UNIT 315",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920376638",
"telephone_number": "619-665-2159",
"fax_number": "858-836-1159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "BRIAN",
"middle_name": "HILTON",
"credential": "M.D,",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-05",
"last_updated": "2010-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "207QH0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": "CA",
"license": "G67969",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.