Kayla Granderson
Case Manager/Care Coordinator in Sacramento, CA. Individual provider (NPI-1).
NPI number1760635213
StatusActive
Last updated in NPPESMar 2, 2012
Details
- NPI
- 1760635213
- Entity type
- Individual (NPI-1)
- Name
- Kayla Granderson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 28, 2008
- Last updated
- Mar 2, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
| 106H00000X | Marriage & Family Therapist | – | – |
Practice location
9343 Tech Center Dr Fl 2Sacramento, CA 95826-2563
Phone 916-641-9595
Mailing address
9343 Tech Center Dr Fl 2Sacramento, CA 95826-2563
Phone 916-641-9595
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 1,392 Case Manager/Care Coordinator providers in Sacramento · All 37,780 providers in Sacramento
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