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GRAYSEN URSUS PITCHER
NPI 1275389447
Student in an Organized Health Care Education/Training Program in Riverside, CA

Active since April 27, 2024PECOS Enrolled
4510 BROCKTON AVE STE 223, RIVERSIDE, CA 92501(951) 788-3536 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 23, 2026, Jun 14, 2024, Apr 27, 2024 (3 updates tracked since 2024).

About Graysen Ursus Pitcher NPPES

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

GRAYSEN URSUS PITCHER (NPI 1275389447) is an individual student in an organized health care education/training program in Riverside, California and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275389447
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameGRAYSEN URSUS PITCHER
Location Address4510 BROCKTON AVE STE 223Riverside, CA 92501-4020
Mailing Address4510 Brockton Ave Ste 223Riverside, CA 92501-4020 · (951) 788-3536
Phone(951) 788-3536
Sole ProprietorNo
Enumeration DateApril 27, 2024
Last NPPES UpdateMarch 23, 20263 updates tracked since enumeration
NPPES CertifiedMarch 23, 2026
✔ NPI 1275389447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4510 BROCKTON AVE STE 223, Riverside, CA 92501
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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)

Graysen Ursus Pitcher 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 8

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

SANA HADYAH MD
Emergency Medicine
4510 BROCKTON AVE STE 223
RIVERSIDE, CA 92501
Riverside County (951) 788-3536
RHEEM FAWAZ MD
Student in an Organized Health Care Education/Training Program
4510 BROCKTON AVE STE 223
RIVERSIDE, CA 92501
Riverside County (951) 788-3536
ALEX NELSON
Student in an Organized Health Care Education/Training Program
4510 BROCKTON AVE STE 223
RIVERSIDE, CA 92501
Riverside County (951) 788-3536
SARRA LARIF MD
Student in an Organized Health Care Education/Training Program
4510 BROCKTON AVE STE 223
RIVERSIDE, CA 92501
Riverside County (951) 788-3536
DAVID JOSEPH DONEHUE
Student in an Organized Health Care Education/Training Program
4510 BROCKTON AVE STE 223
RIVERSIDE, CA 92501
Riverside County (951) 788-3536
ALEXA MARIN JOHNSON MD
Student in an Organized Health Care Education/Training Program
4510 BROCKTON AVE STE 223
RIVERSIDE, CA 92501
Riverside County (951) 788-3536
RISHI BOMMANNAN MD
Emergency Medicine
4510 BROCKTON AVE STE 223
RIVERSIDE, CA 92501
Riverside County (951) 788-3536
ALYANNA LANZEL ROQUE PATAWARAN MD
Student in an Organized Health Care Education/Training Program
4510 BROCKTON AVE STE 223
RIVERSIDE, CA 92501
Riverside County (951) 788-3536

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 Graysen Pitcher's NPI number?

The NPI number for Graysen Pitcher is 1275389447. It was assigned to this individual provider in the NPPES registry on April 27, 2024.

Where is Graysen Pitcher located?

Graysen Pitcher practices at 4510 Brockton Ave Ste 223, Riverside, CA 92501. The listed phone number is (951) 788-3536.

What is Graysen Pitcher's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Graysen Pitcher enrolled in Medicare?

Yes. Graysen Pitcher is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Graysen Pitcher was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.