Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GRACE CAROLINE HANNIGAN
NPI 1255195657
General Practice in San Diego, CA

Q: What is Grace Hannigan's NPI number?

The NPI number for Grace Hannigan is 1255195657. It was assigned to this individual provider in the NPPES registry on February 7, 2024.

Q: What is Grace Hannigan's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Grace Hannigan was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 days 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.

Active since February 07, 2024PECOS Enrolled

34800 BOB WILSON DR, SAN DIEGO, CA 92134(619) 532-6400 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 19, 2025, Jun 28, 2024, Feb 7, 2024 (3 updates tracked since 2024).

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About Grace Caroline Hannigan NPPES

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

GRACE CAROLINE HANNIGAN (NPI 1255195657) is an individual general practice provider in San Diego, California, licensed in Virginia (0102209456) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255195657

Entity TypeIndividualFemale

Primary Taxonomy208D00000X

Provider Legal NameGRACE CAROLINE HANNIGAN

Location Address34800 BOB WILSON DRSan Diego, CA 92134-1098

Mailing Address34800 Bob Wilson DrSan Diego, CA 92134-1098 · (978) 460-1323

Phone(619) 532-6400

Sole ProprietorNo

Enumeration DateFebruary 7, 2024

Last NPPES UpdateJune 17, 20263 updates tracked since enumeration

NPPES CertifiedJune 17, 2026

✔ NPI 1255195657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in VA · 0102209456

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedMilitary Health Care ProviderTaxonomy 171000000X

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

34800 BOB WILSON DR, San Diego, CA 92134

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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)

Grace Caroline Hannigan 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.

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.

LORENA MARIE FUJII N.P.

Nurse Practitioner (Pediatrics)