Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jonathan Ivan Granados

Individual provider Physician Assistant · NPI 1871376582

Jonathan Ivan Granados is a Physician Assistant in Santa Maria, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

430 S Blosser Rd
Santa Maria, CA 93458-4908
Phone: (053) 618-9008
Fax: (805) 361-8990
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (CA)

Record details

NPI number1871376582
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 16, 2023
Last updated in NPPESJanuary 12, 2024
Certification dateJanuary 12, 2024

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