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MS. CAROL LUISA GRANT-DOUGHERTY P.A.
NPI 1114037579
Physician Assistant in Lancaster, CA

Active since August 30, 2006PECOS Enrolled
43839 15TH ST W, LANCASTER, CA 93534(661) 945-5984(661) 951-3357 Get Directions Write a Review

NPPES record last updated: September 5, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Carol Luisa Grant-dougherty P.a. NPPES

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

MS. CAROL LUISA GRANT-DOUGHERTY P.A. (NPI 1114037579) is an individual physician assistant in Lancaster, California, licensed in California (PA11959) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114037579
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. CAROL LUISA GRANT-DOUGHERTYCredential: P.A.
Location Address43839 15TH ST WLancaster, CA 93534-4756
Mailing AddressPo Box 7007Lancaster, CA 93539-7007 · (661) 945-5984 · Fax (661) 951-3357
Phone(661) 945-5984
Fax(661) 951-3357
Sole ProprietorNo
Enumeration DateAugust 30, 2006
Last NPPES UpdateSeptember 5, 2008
✔ NPI 1114037579 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 · PA11959
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.
43839 15TH ST W, Lancaster, CA 93534
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Other Names 1

Former Name (1)Carol Luisa Grant

Other Identifiers 2

Medicare UPINP46758CA
Medicare ID-Type UnspecifiedWPA11959ACA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Carol Luisa Grant-dougherty P.a. 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 93534 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 20

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

DR. EDGARDO SANTOS BARCELONA M.D.
Surgery
43839 15TH ST W
LANCASTER, CA 93534
Los Angeles County (661) 945-5984
MR. JAMES MILTON LCSW
Social Worker (Clinical)
43839 15TH ST W, HIGH DESERT MEDICAL GROUP
LANCASTER, CA 93534
Los Angeles County (661) 945-5984
DR. YON YARN D.O.
Internal Medicine
43839 15TH ST W
LANCASTER, CA 93534
Los Angeles County (661) 951-3009
NANCY LE
Pharmacist
43839 15TH ST W
LANCASTER, CA 93534
Los Angeles County (661) 942-0607
DR. QANWARPARTAP S SIDHU MD
Dermatology
43839 15TH ST W
LANCASTER, CA 93534
Los Angeles County (661) 945-5984
DR. VINCENT A.K. HO M.D.
Internal Medicine (Geriatric Medicine)
43839 15TH ST W
LANCASTER, CA 93534
Los Angeles County (661) 945-5984
DR. SAMI A NAFOOSI MD
Internal Medicine
43839 15TH ST W
LANCASTER, CA 93534
Los Angeles County (661) 945-5984
DR. CHARLES MYAING LIM M.D.
Internal Medicine
43839 15TH ST W
LANCASTER, CA 93534
Los Angeles County (661) 945-5984

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 Carol Grant-dougherty's NPI number?

The NPI number for Carol Grant-dougherty is 1114037579. It was assigned to this individual provider in the NPPES registry on August 30, 2006. The provider is also known as Carol Luisa Grant.

Where is Carol Grant-dougherty located?

Carol Grant-dougherty practices at 43839 15th St W, Lancaster, CA 93534. The listed phone number is (661) 945-5984.

What is Carol Grant-dougherty's specialty?

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

Is Carol Grant-dougherty enrolled in Medicare?

Yes. Carol Grant-dougherty is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carol Grant-dougherty was last updated on September 5, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.