Kenneth Granados, PA - Medicare Physician Assistant in Riverside, CA

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Kenneth Granados, PA is a medicare enrolled "Physician Assistant" in Riverside, California. His current practice location is 9990 County Farm Rd, Riverside, California. You can reach out to his office (for appointments etc.) via phone at (951) 440-5098.

Kenneth Granados is licensed to practice in California (license number PA54033) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1225486251.

Contact Information

Kenneth Granados, PA
9990 County Farm Rd,
Riverside, CA 92503-3542
(951) 440-5098
Not Available

Map and Direction




Provider's Profile

Full NameKenneth Granados
GenderMale
SpecialityPhysician Assistant
Location9990 County Farm Rd, Riverside, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1225486251
  • Provider Enumeration Date: 05/31/2016
  • Last Update Date: 01/07/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1254609241
  • Enrollment ID: I20170615001475

Medical Identifiers

Medical identifiers for Kenneth Granados such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225486251NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA54033 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kenneth Granados allows following entities to bill medicare on his behalf.
Entity NameCep America - California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023063542
PECOS PAC ID: 6103739131
Enrollment ID: O20031106000520
Entity NameCounty of Riverside
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023122967
PECOS PAC ID: 6507754488
Enrollment ID: O20040310001107
Entity NameCep America - Psychiatry PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538757232
PECOS PAC ID: 0244522159
Enrollment ID: O20160713002860
Entity NameMartin Luther King Jr Community Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356899777
PECOS PAC ID: 8628359502
Enrollment ID: O20170109001311
Entity NamePsychicure PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033088414
PECOS PAC ID: 2163909334
Enrollment ID: O20260119000703

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kenneth Granados is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kenneth Granados, PA
3301 Michelson Dr Apt 1342,
Irvine, CA 92612-8902

Ph: (951) 440-5098		Kenneth Granados, PA
9990 County Farm Rd,
Riverside, CA 92503-3542

Ph: (951) 440-5098

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.