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

KIMBERLY DAWN GRANADOS NP
NPI 1740131192
Nurse Practitioner - Family in Lake Elsinore, CA

Q: What is Kimberly Granados's NPI number?

The NPI number for Kimberly Granados is 1740131192. It was assigned to this individual provider in the NPPES registry on February 3, 2026.

Q: What is Kimberly Granados's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Granados was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 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 February 03, 2026PECOS Enrolled

141 N MAIN ST, LAKE ELSINORE, CA 92530(855) 505-7467(888) 975-8926 Get Directions Write a Review

NPPES record last updated: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 1, 2026, Feb 3, 2026 (2 updates tracked since 2026).

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About Kimberly Dawn Granados Np NPPES

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

KIMBERLY DAWN GRANADOS NP (NPI 1740131192) is an individual family provider in Lake Elsinore, California, licensed in California (95038401) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1740131192

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKIMBERLY DAWN GRANADOSCredential: NP

Location Address141 N MAIN STLake Elsinore, CA 92530-4118

Mailing Address495 E Rincon St Ste 215Corona, CA 92879-1378 · (951) 523-0117 · Fax (951) 394-0685

Phone(855) 505-7467

Fax(888) 975-8926

Sole ProprietorNo

Enumeration DateFebruary 3, 2026

Last NPPES UpdateOctober 1, 20262 updates tracked since enumeration

NPPES CertifiedOctober 1, 2026

✔ NPI 1740131192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95038401

141 N MAIN ST, Lake Elsinore, CA 92530

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Secondary Practice Locations 3

Location 113925 Indian StMoreno Valley, CA 92553-5718 · Phone (855) 505-7467 · Fax (888) 975-8926

Location 29939 Magnolia AveRiverside, CA 92503-3528 · Phone (855) 505-7467 · Fax (888) 975-8926

Location 39675 Monte Vista Ave Ste CMontclair, CA 91763-2213 · Phone (855) 505-7467 · Fax (888) 975-8926

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Dawn Granados Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92530 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

DR. JAVIER RIOS, A MEDICAL CORPORATION

Family Medicine