Grace Medrano, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

121365 Issued in CA

Practice address

4179 3Rd Ave
San Diego, CA 92103-1400

Phone

(559) 556-0849

NPI assigned

Apr 5, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Trinity Ministries Group Inc

  • Multi-Specialty Clinic/Center
  • Visalia, CA
  • NPI 1780604108

  Marriage & Family Therapist

  NPD (past)

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

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1053817288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4179 3RD AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921031400",
            "telephone_number": "559-556-0849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4179 3RD AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921031400",
            "telephone_number": "559-556-0849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDRANO",
        "first_name": "GRACE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-05",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "121365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan Medoff, R.PH.
• Medpilot Pharmacy Inc.
• Brandon Mitchell Medrano
• Daniela Medrano
• Edna Leticia Medrano
• Janett Medrano, RD
• Jena Medrano
• Joseph Medrano
• Karlo Lagrisola Medrano
• Kyle Rene Medrano

• Marriage & Family Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.