Individual provider Active NPI

Inna Gracheva, FNP

  • Family Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1033917307
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95032176 Issued in CA
Practice address
5644 Mission Center Rd # 201
San Diego, CA 92108-4328
Phone
(619) 395-0570
NPI assigned
Mar 4, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95032176 CA Primary

Addresses

Primary practice location

5644 Mission Center Rd # 201
San Diego, CA 92108-4328

Mailing address

13366 Via Stephen
Poway, CA 92064-4841
Phone (619) 395-0570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250506003544 CA Practitioner - Nurse Practitioner 6608393319 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic Medical Group of San Diego IncGroup PAC ID 2567520414, 40 clinicians

Practice addresses (Care Compare)

5644 Mission Ctr Rd
San Diego, CA 92108-4328
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95032176CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic Medical Group of California Inc Family CurrentSince Apr 22, 2025 Accepting new patients
Minuteclinic Diagnostic Medical Group of San Diego Inc Family CurrentSince Apr 22, 2025 Accepting new patients
Minuteclinic Primary Care California Family CurrentSince Oct 3, 2025 Accepting new patients
Minuteclinic Diagnostic Medical Group of Orange County Inc Family CurrentSince Apr 22, 2025 Accepting new patients

Locations

1401 S Baldwin Ave
Arcadia, CA 91007
Phone (626) 321-4210

8850 Valley View St
Buena Park, CA 90620
Phone (714) 827-7321

511 N Hollywood Way
Burbank, CA 91505
Phone (818) 841-0710

2510 El Camino Real
Carlsbad, CA 92008
Phone (760) 729-8941

2760 Fletcher Pkwy
El Cajon, CA 92020
Phone 6194614411 ext. 8221

7096 N West Ave
Fresno, CA 93711
Phone (559) 436-0471

14330 Culver Dr
Irvine, CA 92604
Phone (949) 559-8129

11428 Kenyon Way
Rancho Cucamonga, CA 91701
Phone (909) 589-4098

921 Pacific Coast Hwy
Seal Beach, CA 90740
Phone (562) 598-0473

33205 US Highway 79
Temecula, CA 92592
Phone (951) 303-3154

29610 Rancho California Rd
Temecula, CA 92591
Phone (951) 699-0192

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1741046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1033917307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13366 VIA STEPHEN",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920644841",
            "telephone_number": "619-395-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5644 MISSION CENTER RD # 201",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084328",
            "telephone_number": "619-395-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRACHEVA",
        "first_name": "INNA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-04",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95032176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.