Individual provider Active NPI

Cathreen Granado, PA

  • Medical Physician Assistant
  • Whittier, CA
National Provider Identifier
1750439972
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA 14015 Issued in CA
Practice address
7046 Friends Ave
Whittier, CA 90602-1488
Phone
(562) 881-1105
NPI assigned
Jan 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA 14015 CA Primary

Addresses

Primary practice location

7046 Friends Ave
Whittier, CA 90602-1488

Mailing address

7046 Friends Ave
Whittier, CA 90602-1488
Phone (562) 881-1105

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190913000836 CA Order and Referring Only - Family PracticePractitioner - Family Practice 3173852365

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA 14015CAMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: cathreen.granado.p1@direct.fhccgla.nextgenshare.com
  • Direct secure messaging: cathreen.granado.p1@direct.scfhc.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487548800000",
    "number": "1750439972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7046 FRIENDS AVE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906021488",
            "telephone_number": "562-881-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7046 FRIENDS AVE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906021488",
            "telephone_number": "562-881-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANADO",
        "first_name": "CATHREEN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2017-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA 14015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

Verify at the official NPI Registry.