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

ALYSSA GRISHAM
NPI 1720946684
Nurse Practitioner - Critical Care Medicine in Redlands, CA

Active since January 12, 2026
425 WILBAR CIR, REDLANDS, CA 92374(909) 352-2366 Get Directions Write a Review

NPPES record last updated: August 30, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 30, 2026, Jan 12, 2026 (2 updates tracked since 2026).

About Alyssa Grisham NPPES

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

ALYSSA GRISHAM (NPI 1720946684) is an individual critical care medicine provider in Redlands, California, licensed in California (95040134) and active in the NPI registry since January 2026. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1720946684
Entity TypeIndividualFemale
Primary Taxonomy363LC0200X
Provider Legal NameALYSSA GRISHAM
Location Address425 WILBAR CIRRedlands, CA 92374-6352
Mailing Address425 Wilbar CirRedlands, CA 92374-6352 · (909) 352-2366
Sole ProprietorNo
Enumeration DateJanuary 12, 2026
Last NPPES UpdateAugust 30, 20262 updates tracked since enumeration
NPPES CertifiedAugust 30, 2026
NPI 1720946684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Critical Care MedicinePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LC0200X
License Licensed in CA · 95040134
Also ListedNurse PractitionerTaxonomy 363L00000X · License 95040134 (CA)
425 WILBAR CIR, Redlands, CA 92374

Secondary Practice Locations 2

Location 111234 Anderson StLoma Linda, CA 92350-1716 · Phone (909) 558-4000
Location 2420 Brookside AveRedlands, CA 92373-4610 · Phone (909) 793-2020

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 Alyssa Grisham's NPI number?

The NPI number for Alyssa Grisham is 1720946684. It was assigned to this individual provider in the NPPES registry on January 12, 2026.

Where is Alyssa Grisham located?

Alyssa Grisham practices at 425 Wilbar Cir, Redlands, CA 92374. The listed phone number is (909) 352-2366.

What is Alyssa Grisham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Critical Care Medicine, with taxonomy code 363LC0200X.

When was this NPI record last updated?

The NPPES record for Alyssa Grisham was last updated on August 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.