SOPHIA R GRANT MD
NPI 1841215613
Pediatrics in Moreno Valley, CA

Q: What is Sophia Grant's NPI number?

The NPI number for Sophia Grant is 1841215613. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Q: What is Sophia Grant's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Sophia Grant was last updated on June 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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 July 13, 2006PECOS Enrolled

26520 CACTUS AVE, MORENO VALLEY, CA 92555(951) 486-4345(951) 486-4330 Get Directions Write a Review

NPPES record last updated: June 7, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Sophia R Grant Md NPPES

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

SOPHIA R GRANT MD (NPI 1841215613) is an individual pediatrics provider in Moreno Valley, California, licensed in California (A66209) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841215613

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameSOPHIA R GRANTCredential: MD

Location Address26520 CACTUS AVEMoreno Valley, CA 92555-3927

Mailing Address26520 Cactus AveMoreno Valley, CA 92555-3927 · (951) 486-4345 · Fax (951) 486-4330

Phone(951) 486-4345

Fax(951) 486-4330

Sole ProprietorNo

Enumeration DateJuly 13, 2006

Last NPPES UpdateJune 7, 2021

NPPES CertifiedMay 21, 2021

✔ NPI 1841215613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in CA · A66209✔ Licensed in OK · 24883

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedEmergency MedicineTaxonomy 207P00000X · License A66209 (CA)

Also ListedEmergency Medicine · Pediatric Emergency MedicineTaxonomy 207PP0204X · License N6326 (TX)

Also ListedPediatrics · Child Abuse PediatricsTaxonomy 2080C0008X · License A66209 (CA)

26520 CACTUS AVE, Moreno Valley, CA 92555

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Other Identifiers 3

Other213341504TX · Cshcn

Medicaid213341503TX

Medicaid200089650AOK

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sophia R Grant Md 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 92555 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 20

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

MARINA BOYARSKY M.D.

Student in an Organized Health Care Education/Training Program

26520 CACTUS AVE, FAMILY MEDICINE RESIDENCY PROGRAM
MORENO VALLEY, CA 92555

Riverside County (951) 486-5611

DR. THU KIEU NGUYEN HUYNH PHARM.D.

Pharmacist