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

Phillip Jerome Griego Jr.

Individual provider Physician Assistant · NPI 1649140864

Phillip Jerome Griego Jr. is a Physician Assistant in Santa Fe, New Mexico. Graduated from San Juan Bautista School of Medicine in 2025, 1 year ago. Practices with Caroline Kingston MD MPH Family Practice LLC, a 2-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
1
Trained at
San Juan Bautista School of Medicine
Licensed in
NM
In the registry since
2025
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Practice location Address checks out

460 Saint Michaels Dr Ste 1104
Santa Fe, NM 87505-7709
Phone: (505) 820-2562
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2025-0119 (NM)

Record details

NPI number1649140864
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 11, 2025
Last updated in NPPESDecember 2, 2025
Certification dateDecember 2, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolSAN JUAN BAUTISTA SCHOOL OF MEDICINE
Graduated 2025 (1 years in practice)
Group practice Caroline Kingston Md Mph Family Practice Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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