Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ETHAN D GRANGER
ActiveETHAN D GRANGER is a Physician Assistant healthcare provider located in LA JOLLA, California. NPI 1457048324 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · LA JOLLA, CA
Registration Details
- NPI Number
- 1457048324
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 20, 2023 (3.3114950085435 yrs)
- Last Updated
- Jan 28, 2026
- Licenses
-
PA67139 (CA)PA2024-0038 (NM)
Practice Information
- Address
-
9300 CAMPUS POINT DRLA JOLLA, CA, 920371300Browse CA providers · Browse ZIP 92037
- Phone
- 8009268273
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in LA JOLLA, CA
| Name | Credential | NPI |
|---|---|---|
| CHRISTOPHER E SADLER | P.A. | 1306838842 |
| JOSE LUIS RUIZ | P.A. | 1235122961 |
| MRS. ABHA M BOSWORTH | PA | 1629067053 |
| HEATHER C. BONAGUIDI | P.A. | 1669458691 |
| DANIEL J. COLLINS | P.A. | 1548247158 |
| DORIS H. ELIAS | P.A. | 1457338089 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.