James Santiago Grisolia, M.D. Inc

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

G42884 Issued in CA

Legal business name

JAMES SANTIAGO GRISOLIA, M.D. INC

Practice address

4033 3Rd Ave Ste 204
San Diego, CA 92103-2130

Phone

(619) 297-1155

NPI assigned

Jan 31, 2007

Organization subpart

No

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

Authorized official

Name

James Santiago Grisolia, M.D.NPI 1336102359

Title

Present

Phone

(619) 297-1155

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Santiago Grisolia, M.D.INC

  • Neurology Physician
  • San Diego, CA
  • NPI 1336102359
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742947200000",
    "number": "1801933684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4033 3RD AVE STE 204",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032130",
            "telephone_number": "619-297-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4033 3RD AVE STE 204",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032130",
            "telephone_number": "619-297-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES SANTIAGO GRISOLIA, M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A",
        "authorized_official_last_name": "GRISOLIA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "SANTIAGO",
        "authorized_official_title_or_position": "PRESENT",
        "authorized_official_telephone_number": "619-297-1155",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G42884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G428840",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Charles James, PHARMD
• Christine Elizabeth James, DO

• Neurology Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.