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KENNETH GRANADOS PA
NPI 1225486251
Physician Assistant in Riverside, CA

Active since May 31, 2016PECOS Enrolled
9990 COUNTY FARM RD, RIVERSIDE, CA 92503(951) 440-5098 Get Directions Write a Review

NPPES record last updated: January 7, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Kenneth Granados Pa NPPES

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

KENNETH GRANADOS PA (NPI 1225486251) is an individual physician assistant in Riverside, California, licensed in California (PA54033) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225486251
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKENNETH GRANADOSCredential: PA
Location Address9990 COUNTY FARM RDRiverside, CA 92503-3542
Mailing Address3301 Michelson Dr Apt 1342Irvine, CA 92612-8902 · (951) 440-5098
Phone(951) 440-5098
Sole ProprietorYes
Enumeration DateMay 31, 2016
Last NPPES UpdateJanuary 7, 2021
NPPES CertifiedJanuary 7, 2021
✔ NPI 1225486251 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 · PA54033
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.
9990 COUNTY FARM RD, Riverside, CA 92503
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth Granados Pa 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 92503 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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.

MRS. DESIREE C NWIGWE APRN, PMHNP, PHN
Nurse Practitioner (Psychiatric/Mental Health)
9990 COUNTY FARM RD
RIVERSIDE, CA 92503
Riverside County (951) 358-4000
ANDREW MUSSELMAN
Peer Specialist
9990 COUNTY FARM RD, SUITE 6
RIVERSIDE, CA 92503
Riverside County (866) 481-5361
DR. DAVID ROBERT SEIGLER M.D.
Psychiatry & Neurology (Psychiatry)
9990 COUNTY FARM RD
RIVERSIDE, CA 92503
Riverside County (951) 358-4881
DR. TOKUNBO LABISI WILLIAMS M.D
Psychiatry & Neurology (Psychiatry)
9990 COUNTY FARM RD
RIVERSIDE, CA 92503
Riverside County (951) 358-4770
SARAH MATIGI PSYCHIATRIC NP
Nurse Practitioner (Psychiatric/Mental Health)
9990 COUNTY FARM RD
RIVERSIDE, CA 92503
Riverside County (951) 358-4881
ALISIA LASCANO-OROPEZA
Counselor (Mental Health)
9990 COUNTY FARM RD, SUITE 5
RIVERSIDE, CA 92503
Riverside County (951) 358-4834
MS. MEGHAN PATTERSON
Behavior Analyst
9990 COUNTY FARM RD
RIVERSIDE, CA 92503
Riverside County (951) 358-6922
MR. SAMUEL NECTALI MARTINEZ BSW
Counselor (Mental Health)
9990 COUNTY FARM RD, SUITE 5
RIVERSIDE, CA 92503
Riverside County (760) 238-8385

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 Kenneth Granados's NPI number?

The NPI number for Kenneth Granados is 1225486251. It was assigned to this individual provider in the NPPES registry on May 31, 2016.

Where is Kenneth Granados located?

Kenneth Granados practices at 9990 County Farm Rd, Riverside, CA 92503. The listed phone number is (951) 440-5098.

What is Kenneth Granados's specialty?

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

Is Kenneth Granados enrolled in Medicare?

Yes. Kenneth Granados is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenneth Granados was last updated on January 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.