Wilian Grijalva

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95026675 Issued in CA

Practice address

5459 Meridian PL
Bonsall, CA 92003-3739

Phone

(949) 547-0486

NPI assigned

Aug 10, 2023

Last updated

Aug 15, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Olive Tree Nursing CorporationGroup PAC ID 1759871874, 4 clinicians

Monica Perlman MD IncGroup PAC ID 8820035884, 357 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vital Care Health Systems Home health agency, San Diego, CA, CCN 059398
• Healthwise Home Health Care Inc Home health agency, National City, CA, CCN 059418
• Active Health Services Home health agency, San Diego, CA, CCN 059672
• Belle Vie Home Health Inc Home health agency, El Cajon, CA, CCN 053158
• Sea Coast Home Health Care Inc Home health agency, San Diego, CA, CCN 559055

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Monica Perlman MD Inc.

  dba Perlman Clinic

  • Primary Care Clinic/Center
  • La Jolla, CA
  • NPI 1134309305
  Medicare reassignment Care Compare group NPD
• Olive Tree Nursing Corporation

  • Internal Medicine Physician
  • Lemon Grove, CA
  • NPI 1194698043
  Medicare reassignment Care Compare group NPD
• Mohammed K Elsayed MD Apc

  • Family Medicine Physician
  • Chula Vista, CA
  • NPI 1396167813
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Belle Vie Home Health, Inc.

  • Home Health Agency
  • El Cajon, CA
  • NPI 1487101119
  Care Compare affiliation
• Healthwise Home Health Care, Inc.

  • Home Health Agency
  • National City, CA
  • NPI 1235407826
  Care Compare affiliation
• Medi-Art Home Health Care, Inc.

  dba Active Health Services

  • Home Health Agency
  • San Diego, CA
  • NPI 1598174104
  Care Compare affiliation
• Sea Coast Home Health Care Inc

  • Home Health Agency
  • San Diego, CA
  • NPI 1720523921
  Care Compare affiliation
• Vital Care Health Systems

  • Home Health Agency
  • San Diego, CA
  • NPI 1114206976
  Care Compare affiliation

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

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1831872357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5459 MERIDIAN PL",
            "city": "BONSALL",
            "state": "CA",
            "postal_code": "920033739",
            "telephone_number": "949-547-0486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5459 MERIDIAN PL",
            "city": "BONSALL",
            "state": "CA",
            "postal_code": "920033739",
            "telephone_number": "949-547-0486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIJALVA",
        "first_name": "WILIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-10",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95026675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria D Frederico, O.T.R/L
• Alyssa Maria Glorioso, MS
• Golden House Residence LLC (Golden House Residence #21 and #24)
• Cierra Gratz, M.S., CCC-SLP
• Keri Gresbrink
• Natalia Guchko, NP
• Debra Yvonne Guiffre, M.D.
• Maisa Haddad, R.PH
• Carol F Heck, PHD
• C. Greg Henderson, DC

• Family Nurse Practitioner in Bonsall, CA
• Providers in Bonsall, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.