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

Terri Granillo

Individual provider Physician Assistant · NPI 1922552819

Terri Granillo is a Physician Assistant in Loma Linda, California. Qualified in 2016, 10 years ago. Practices with Portola Medical Services PC, a 23-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
10
Licensed in
CA
In the registry since
2016
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Practice location Address checks out

11234 Anderson St # MC-1516D
Loma Linda, CA 92354-2804
Phone: (909) 558-4908
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 25333 Barton Road, Loma Linda, CA 92354-3130 — (909) 558-6600
  • 111 N Sepulveda Blvd, Manhattan Beach, CA 90266-6861 — (310) 698-5458

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 54003 (CA)

Record details

NPI number1922552819
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 8, 2016
Last updated in NPPESNovember 30, 2021
Certification dateNovember 30, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Portola Medical Services Pc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations8 on file with Medicare

Other providers in Loma Linda