Luis Enrique Graciano

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

21520 Pioneer Blvd Ste 110
Hawaiian Gardens, CA 90716-2603

Phone

(562) 754-3997

NPI assigned

Aug 29, 2007

Last updated

May 27, 2011By the provider in NPPES

Sex

Male

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Santa Clarita, CA
  • NPI 1316409410
  NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Baldwin Park, CA
  • NPI 1770515280
  NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Inglewood, CA
  • NPI 1821635079
  NPD

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306454400000",
    "number": "1093909319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15239 VAN NESS AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902494147",
            "telephone_number": "562-754-3997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21520 PIONEER BLVD STE 110",
            "city": "HAWAIIAN GARDENS",
            "state": "CA",
            "postal_code": "907162603",
            "telephone_number": "562-754-3997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRACIANO",
        "first_name": "LUIS",
        "middle_name": "ENRIQUE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-29",
        "last_updated": "2011-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harjeet Ghotra
• Go Service Success LLC (People Keeping Hope Alive-PKHA)
• Alexandra-Grissell Gomez
• Andria Maria Gomez
• Good Morning Acupuncture, Inc.
• Juan Jose Gutierrez, BA
• Nancy Gutierrez
• Shalom Eunique Hall, LVN
• James Sadao Hamada, MD
• Jong Chul Han, DDS

• Marriage & Family Therapist in Hawaiian Gardens, CA
• Providers in Hawaiian Gardens, 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 May 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.