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

MARK GRANDA
NPI 1366374563
Counselor - Addiction (Substance Use Disorder) in San Antonio, TX

Q: What is Mark Granda's NPI number?

The NPI number for Mark Granda is 1366374563. It was assigned to this individual provider in the NPPES registry on June 1, 2026.

Q: What is Mark Granda's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Mark Granda was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 June 01, 2026PECOS Enrolled

1055 ADA ST, SAN ANTONIO, TX 78223(210) 358-5515(210) 358-5530 Get Directions Write a Review

NPPES record last updated: September 18, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 18, 2026, Jun 1, 2026 (2 updates tracked since 2026).

On this page

About Mark Granda NPPES

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

MARK GRANDA (NPI 1366374563) is an individual addiction (substance use disorder) provider in San Antonio, Texas, licensed in Texas (17557) and active in the NPI registry since June 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1366374563

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameMARK GRANDA

Location Address1055 ADA STSan Antonio, TX 78223-1703

Mailing Address1055 Ada StSan Antonio, TX 78223-1703 · (210) 358-5515 · Fax (210) 358-5530

Phone(210) 358-5515

Fax(210) 358-5530

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateJune 1, 2026

Last NPPES UpdateSeptember 18, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 18, 2026

✔ NPI 1366374563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in TX · 17557

1055 ADA ST, San Antonio, TX 78223

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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)

Mark Granda is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234693862

PECOS Enrollment IDI20260714003851

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.

BRETT STEELMAN

Physician Assistant

1055 ADA ST
SAN ANTONIO, TX 78223

Bexar County (210) 358-5515

DR. SHARIF EUSUFZAI M.D., PHD

Internal Medicine (Geriatric Medicine)

1055 ADA ST, SOUTH BEXAR VA OUT PATIENT CLINIC
SAN ANTONIO, TX 78223

Bexar County (210) 358-5682

DR. TERESA M. RUIZ M.D.

Pediatrics

1055 ADA ST
SAN ANTONIO, TX 78223

Bexar County (210) 358-5515

MRS. JUSTINE LEE HUDSON PA-C

Physician Assistant

1055 ADA ST
SAN ANTONIO, TX 78223

Bexar County (210) 358-5515

CHRISTINA AILEEN KRUSE PHARMD

Pharmacist

1055 ADA ST
SAN ANTONIO, TX 78223

Bexar County (210) 358-5534

BRIDGET SEDANO HAGGERTY

Nurse Practitioner (Family)

1055 ADA ST
SAN ANTONIO, TX 78223

Bexar County (210) 358-5515

BEXAR COUNTY HOSPITAL DISTRICT

Pharmacy (Community/Retail Pharmacy)

1055 ADA ST
SAN ANTONIO, TX 78223

Bexar County (210) 358-5534

CHRISTINA ASHLEY LAWSON LCSW

Social Worker (Clinical)

1055 ADA ST
SAN ANTONIO, TX 78223

Bexar County (210) 358-5515

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 Mark Granda's NPI number?

The NPI number for Mark Granda is 1366374563. It was assigned to this individual provider in the NPPES registry on June 1, 2026.

Where is Mark Granda located?

Mark Granda practices at 1055 Ada St, San Antonio, TX 78223. The listed phone number is (210) 358-5515.

What is Mark Granda's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Mark Granda enrolled in Medicare?

Yes. Mark Granda is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Granda was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.