TERRI GRANILLO – Physician Assistant, NPI 1922552819
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,570 PHYSICIAN ASSISTANT in CA
Provider Addresses for TERRI GRANILLO
11234 ANDERSON ST # MC-1516D
LOMA LINDA, CA 923542804
Phone: (909) 558-4908
Type: Mailing
FILE # 54701
LOS ANGELES, CA 900744701
Phone: (909) 558-6600
Type: Mailing
25333 BARTON ROAD
LOMA LINDA, CA 923543130
Phone: (909) 558-6600
Type: Location
111 N Sepulveda Blvd
Suite 210
Manhattan Beach, CA 902666861
Phone: (310) 698-5458
Type: Location
25333 Barton Road
Loma Linda, CA 923543130
Phone: (909) 558-6600
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 25 Open Payments records for all available years, with a total value of $543.
Total Amount is formed as General ($543) + Research ($0) + Ownership ($0) = $543.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($168).
Total Amount
$543
General + Research + Ownership
Payments
25
Total payment records
General Amount
$543
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $168 |
| Lilly USA, LLC | $84 |
| PFIZER INC. | $53 |
| Exact Sciences Corporation | $47 |
| AstraZeneca Pharmaceuticals LP | $32 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-04-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170404002177 | I | Physician Assistant | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99183 | Management of oxygen chamber therapy | 195 | 15 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 132 | 95 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 44 | 44 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 26 | 26 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 17 | 17 | $0 |
Insurance plans in this area (ZIP 92354)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| Physician Assistant | CA | |
| Physician Assistant | CA | |
| Physician Assistant | CA | |
| Physician Assistant | CA | |
| Physician Assistant | CA | |
| Addiction Medicine | CA | |
| Physician Assistant | CA | |
| Physician Assistant | CA |
Reviews
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