CONNOR ASHTON GRAHAM
NPI 1295538908
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Q: What is Connor Graham's NPI number?

The NPI number for Connor Graham is 1295538908. It was assigned to this individual provider in the NPPES registry on March 28, 2025.

Q: What is Connor Graham's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Connor Graham was last updated on May 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 28, 2025PECOS Enrolled

1201 ALHAMBRA BLVD STE 300, SACRAMENTO, CA 95816(916) 813-2954 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 5, 2025, Apr 1, 2025, Mar 28, 2025 (3 updates tracked since 2025).

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About Connor Ashton Graham NPPES

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

CONNOR ASHTON GRAHAM (NPI 1295538908) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS and maintains a secondary practice location in Sacramento.

NPPES Registry Identity

NPI1295538908

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameCONNOR ASHTON GRAHAM

Location Address1201 ALHAMBRA BLVD STE 300Sacramento, CA 95816-5241

Mailing Address976 State St Fl 2New Haven, CT 06511-3945 · (757) 567-6620

Phone(916) 813-2954

Sole ProprietorNo

Enumeration DateMarch 28, 2025

Last NPPES UpdateMay 5, 20253 updates tracked since enumeration

NPPES CertifiedMay 5, 2025

✔ NPI 1295538908 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.

1201 ALHAMBRA BLVD STE 300, Sacramento, CA 95816

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Secondary Practice Location 1

Location 12825 Capitol AveSacramento, CA 95816-6039 · Phone (916) 887-0000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Connor Ashton Graham 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.