1. Home
  2. Directory
  3. California
  4. San Diego
  5. Anesthesiology
  6. NPI Profile

SHANNON L GRANGER DO INC
NPI 1407710916
Anesthesiology in San Diego, CA

Active since December 10, 2025
12264 EL CAMINO REAL, SAN DIEGO, CA 92130(858) 755-3937 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 15, 2025, Dec 10, 2025 (2 updates tracked since 2025).

About Shannon L Granger Do Inc NPPES

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

SHANNON L GRANGER DO INC (NPI 1407710916) is a healthcare organization registered as an anesthesiology in San Diego, California and active in the NPI registry since December 2025. The organization lists Shannon L Granger, Owner, as its authorized official.

NPPES Registry Identity

NPI1407710916
Entity TypeOrganization
Primary Taxonomy207L00000X
Legal Business NameSHANNON L GRANGER DO INC
Location Address12264 EL CAMINO REALSan Diego, CA 92130-3058
Mailing AddressPo Box 34120Reno, NV 89533-4120 · (775) 747-5050 · Fax (775) 747-5005
Phone(858) 755-3937
Organization SubpartNo
Authorized OfficialShannon L GrangerOwner · (858) 755-3937
Enumeration DateDecember 10, 2025
Last NPPES UpdateDecember 15, 20252 updates tracked since enumeration
NPPES CertifiedDecember 15, 2025
✔ NPI 1407710916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
12264 EL CAMINO REAL, San Diego, CA 92130
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon L Granger Do Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Shannon L Granger Do Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Shannon Granger, D.O.
Anesthesiology
NPI 1902192719
9300 VALLEY CHILDRENS PL
Madera, CA 93636
(559) 353-3000
✔ PECOS✔ Accepts Medicare308 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Shannon L Granger Do Inc's NPI number?

The NPI number for Shannon L Granger Do Inc is 1407710916. It was assigned to this organization in the NPPES registry on December 10, 2025.

Where is Shannon L Granger Do Inc located?

Shannon L Granger Do Inc is located at 12264 El Camino Real, San Diego, CA 92130. The listed phone number is (858) 755-3937.

What is Shannon L Granger Do Inc's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Shannon L Granger Do Inc enrolled in Medicare?

Yes. Shannon L Granger Do Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shannon L Granger Do Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Anesthesiology) reassigns their Medicare billing to Shannon L Granger Do Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Shannon L Granger Do Inc was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.