Ethan D. Granger
Physician Assistant · La Jolla, CA
Practice location
9300 Campus Point DrLa Jolla, CA 92037-1300
- Phone
- (800) 926-8273
NPI record
- NPI
- 1457048324
- Entity type
- Individual (Type 1)
- Enumeration date
- April 20, 2023
- Last updated
- January 28, 2026
- Certified
- January 28, 2026
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X |
PA67139 | CA |
| Physician Assistant | 363A00000X |
PA2024-0038 | NM |
Mailing address
File 57326Los Angeles, CA 90074-7326
- Phone
- (800) 926-8273
Other practice locations (1)
- 1 University Of New Mexico Msc11 6025, Albuquerque, NM 87131-0001 · (505) 272-5062
About Ethan Granger
Ethan D. Granger is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 9300 Campus Point Dr, La Jolla, CA 92037-1300. The NPI number 1457048324 was assigned on April 20, 2023 and the record was last updated on January 28, 2026.
Ethan Granger lists 2 licenses in the registry: #PA67139 (CA) for Physician Assistant; #PA2024-0038 (NM) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Ethan D. Granger?
The NPI number is 1457048324.
What is the phone number of Ethan Granger?
The phone number listed for the practice location is (800) 926-8273.
Where is Ethan Granger located?
9300 Campus Point Dr, La Jolla, CA 92037-1300.
What is the taxonomy code for Ethan Granger?
The primary taxonomy code is 363A00000X – Physician Assistant; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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- Alexandra Massey, PA-C9300 Campus Point Dr
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- Alexander Jeffrey Nelson, PA-C9300 Campus Point Dr
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- Chloe Marie Guilan Trusty, PA-C9850 Genesee Ave Ste 320
- Andrew N. Myerson, P.A.-C.10666 N Torrey Pines Rd
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- Kenneth Nicholas Halter II, PA-C9350 Campus Point Dr
- Sabrina Prijatel9850 Genesee Ave Ste 320
- Casey Carol Retiro Fulinara, PA9850 Genesee Ave Ste 870
- Karen E. Fetzer, P.A.-C.10666 N Torrey Pines Rd