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NEENAH GRADE PA-C
NPI 1063865061
Physician Assistant in San Diego, CA

Active since July 14, 2016PECOS Enrolled
4125 SORRENTO VALLEY BLVD STE A, SAN DIEGO, CA 92121(858) 794-9192 Get Directions Write a Review

NPPES record last updated: February 8, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Neenah Grade Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEENAH GRADE PA-C (NPI 1063865061) is an individual physician assistant in San Diego, California, licensed in California (53586) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063865061
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNEENAH GRADECredential: PA-C
Location Address4125 SORRENTO VALLEY BLVD STE ASan Diego, CA 92121-1423
Mailing Address4125 Sorrento Valley Blvd Ste ASan Diego, CA 92121-1423 · (858) 794-9192
Phone(858) 794-9192
Sole ProprietorNo
Enumeration DateJuly 14, 2016
Last NPPES UpdateFebruary 8, 2018
✔ NPI 1063865061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 53586
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4125 SORRENTO VALLEY BLVD STE A, San Diego, CA 92121
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Other Identifiers 1

Other53586CA · State License Number

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Neenah Grade Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92121 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAN DIEGO HOMEOPATHY
Homeopath
4125 SORRENTO VALLEY BLVD STE A
SAN DIEGO, CA 92121
San Diego County (858) 531-5279
DR. ELIZABETH LIEPPMAN ND
Naturopath
4125 SORRENTO VALLEY BLVD STE A
SAN DIEGO, CA 92121
San Diego County (858) 531-5279

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Neenah Grade's NPI number?

The NPI number for Neenah Grade is 1063865061. It was assigned to this individual provider in the NPPES registry on July 14, 2016.

Where is Neenah Grade located?

Neenah Grade practices at 4125 Sorrento Valley Blvd Ste A, San Diego, CA 92121. The listed phone number is (858) 794-9192.

What is Neenah Grade's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Neenah Grade enrolled in Medicare?

Yes. Neenah Grade is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Neenah Grade was last updated on February 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.