GRACIELA MEDRANO (NPI# 1700393089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700393089 |
| Entity Type | Individual |
| Full Name | GRACIELA MEDRANO |
| Credential | LVN |
| Practice Address |
2055 Lincoln Ave Pasadena CA 91103-1324 |
| Mailing Address |
18657 E Arrow Hwy Apt D Covina CA 91722-1854 |
| Practice Telephone | 6263986300 |
| Mailing Telephone | 6262436023 |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2018-01-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 693753 | CA | Nursing Service Providers |
| Street Address |
2055 LINCOLN AVE |
| City | PASADENA |
| State | CA |
| Zip Code | 91103-1324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659363562 | Nazifah Khairullah | Pediatrics | 2055 Lincoln Ave, Pasadena, CA 91103-1324 | 2005-08-17 |
| 1184249948 | Deborah A Noble | Registered Nurse | 2055 Lincoln Ave, Pasadena, CA 91103-1324 | 2020-06-08 |
| 1548643521 | Hong-yuan Hsin | Dentist | 2055 Lincoln Ave, Pasadena, CA 91103-1324 | 2015-07-08 |
| 1366856098 | Community Health Alliance of Pasadena | Clinic/Center | 2055 Lincoln Ave, Pasadena, CA 91103-1324 | 2014-06-20 |
| 1609145986 | Kevin Simon | Counselor | 2055 Lincoln Ave, Pasadena, CA 91103-1324 | 2011-12-15 |
| 1083993067 | Simona Somerville | Student in an Organized Health Care Education/Training Program | 2055 Lincoln Ave, Pasadena, CA 91103-1324 | 2011-08-09 |
| 1275811564 | Colleen S Voronel | Student in an Organized Health Care Education/Training Program | 2055 Lincoln Ave, Pasadena, CA 91103-1324 | 2011-08-03 |
| 1154609469 | Jessica Tapia | Counselor | 2055 Lincoln Ave, Pasadena, CA 91103-1324 | 2011-08-03 |
| 1497046981 | Vessela Papazova | Counselor | 2055 Lincoln Ave, Pasadena, CA 91103-1324 | 2011-05-02 |
| 1770881450 | Shylo Ann Manzanares | Rehabilitation Practitioner | 2055 Lincoln Ave, Pasadena, CA 91103-1324 | 2011-03-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013407071 | Sean Patrick Comingore | Counselor | 1680 N. Fair Oaks Ave., Pasadena, CA 91103 | 2018-05-15 |
| 1093230252 | John Jesus Smith | Rehabilitation Practitioner | 867 Fair Oaks Ave, Pasadena, CA 91103 | 2017-08-09 |
| 1760906085 | Roberto Sotelo Jr. | Licensed Vocational Nurse | 867 North Fair Oaks Ave., Pasadena, CA 91103 | 2017-07-28 |
| 1477076172 | Towana Danielle Hooks | Rehabilitation Practitioner | 867 North Fair Oaks, Pasadena, CA 91103 | 2017-07-25 |
| 1437671807 | Yolanda Centeno | Marriage & Family Therapist | 867 Fairoaks., Pasadena, CA 91103 | 2017-07-07 |
| 1306366604 | Joseph Anthony Zepeda | Counselor | 1680 N. Fair Oaks Avenue, Pasadena, CA 91103 | 2017-06-27 |
| 1922537372 | Chaznii Bradford | Licensed Vocational Nurse | 867 N. Fair Oaks, Pasadena, CA 91103 | 2017-06-08 |
| 1629505425 | Wassim Ammary | Pharmacist | 1855 South Fair Oaks Ave, Pasadena, CA 91103 | 2017-05-11 |
| 1679005920 | Grace Caroline Seto | Marriage & Family Therapist | 236 W. Mountain St, Suite 202d, Pasadena, CA 91103 | 2017-03-28 |
| 1225575293 | Catherine Lynn Gray | Psychologist | 30 North Raymond Avenue, Suite 403, Pasadena, CA 91103 | 2017-01-27 |
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| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003459827 | Lataysha Chervette Ruffin | Licensed Vocational Nurse | 1744 Jenkins Rd Apt 1004, Pasadena, TX 77506-4972 | 2019-10-24 |
| 1679126395 | Emeredith Sigala | Licensed Vocational Nurse | 5400 Crenshaw Rd Apt 12104, Pasadena, TX 77505-3151 | 2019-07-22 |
| 1033681754 | Monica Nicole Vanegas | Licensed Vocational Nurse | 914 Valerie Ave, Pasadena, TX 77502-3820 | 2018-12-19 |
| 1750881546 | Angel Guerrero | Licensed Vocational Nurse | 312 W Hart Ave, Pasadena, TX 77506-4439 | 2018-02-18 |
| 1790204915 | Vanessa Nicole Contreras | Licensed Vocational Nurse | 36 S. Kinneiloa Ave., Pasadena, CA 91107 | 2017-09-19 |
| 1760906085 | Roberto Sotelo Jr. | Licensed Vocational Nurse | 867 North Fair Oaks Ave., Pasadena, CA 91103 | 2017-07-28 |
| 1922537372 | Chaznii Bradford | Licensed Vocational Nurse | 867 N. Fair Oaks, Pasadena, CA 91103 | 2017-06-08 |
| 1629519640 | Morgan Kerr-totten | Licensed Vocational Nurse | 455 West Montanna St, Pasadena, CA 91103-1019 | 2017-03-09 |
| 1427598390 | Melina Gomez Loza | Licensed Vocational Nurse | 66 Hilburt St #2, Pasadena, CA 91105 | 2017-02-27 |
| 1639507718 | Shudney Lane Ferrer | Licensed Vocational Nurse | 1318 Corson St Apt 6, Pasadena, CA 91106-1555 | 2013-10-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.