LEONARDO O GRANADOS PA-C
NPI 1972758159
Physician Assistant - Surgical in Los Angeles, CA

Active since December 01, 2008PECOS Enrolled
1200 N STATE ST, LOS ANGELES, CA 90033(323) 226-7792(323) 226-4150 Get Directions Write a Review

NPPES record last updated: December 1, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Leonardo O Granados Pa-c NPPES

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

LEONARDO O GRANADOS PA-C (NPI 1972758159) is an individual surgical provider in Los Angeles, California, licensed in California (PA17904) and active in the NPI registry since December 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972758159
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameLEONARDO O GRANADOSCredential: PA-C
Location Address1200 N STATE STLos Angeles, CA 90033-1029
Mailing Address1200 N State StLos Angeles, CA 90033-1029 · (323) 226-7792 · Fax (323) 226-4150
Fax(323) 226-4150
Sole ProprietorNo
Enumeration DateDecember 1, 2008
NPI 1972758159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in CA · PA17904
1200 N STATE ST, Los Angeles, CA 90033

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Leonardo O Granados Pa-c 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy skin barrier, powder, per oz A4371
DME-Orthotic Devices · category DF010N
1 supplier18 claims18 services$3.07 avg. paid by Medicare
Ostomy skin barrier, pectin-based, paste, per ounce A4406
DME-Orthotic Devices · category DF010N
2 suppliers23 claims68 services$5.05 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Orthopaedic Surgery
1200 N STATE ST
LOS ANGELES, CA 90033
Anesthesiology
1200 N STATE ST, #14-901
LOS ANGELES, CA 90033
Anesthesiology
1200 N STATE ST, ROOM 14-901
LOS ANGELES, CA 90033
Obstetrics & Gynecology
1200 N STATE ST, INPT TOWER C3F107
LOS ANGELES, CA 90033
Respiratory Therapist, Certified (Critical Care)
1200 N STATE ST
LOS ANGELES, CA 90033
Respiratory Therapist, Registered (Critical Care)
1200 N STATE ST
LOS ANGELES, CA 90033
Student in an Organized Health Care Education/Training Program
1200 N STATE ST, CLINIC TOWER SUITE A7D
LOS ANGELES, CA 90033
Student in an Organized Health Care Education/Training Program
1200 N STATE ST, CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033

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 Leonardo Granados's NPI number?

The NPI number for Leonardo Granados is 1972758159. It was assigned to this individual provider in the NPPES registry on December 1, 2008.

Where is Leonardo Granados located?

Leonardo Granados practices at 1200 N State St, Los Angeles, CA 90033. The listed phone number is (323) 226-7792.

What is Leonardo Granados's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Leonardo Granados enrolled in Medicare?

Yes. Leonardo Granados is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Leonardo Granados was last updated on December 1, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.