Individual provider Active NPI

Graciela Valdez-Maguire, NP

  • Nurse Practitioner
  • Pasadena, CA
National Provider Identifier
1295836773
Registry record updated May 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
458977 Issued in CA
Practice address
2100 E Colorado Blvd Ste 1
Pasadena, CA 91107
Phone
(626) 229-9865
Fax
(626) 229-9867
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 458977 CA Primary

Addresses

Primary practice location

2100 E Colorado Blvd Ste 1
Pasadena, CA 91107

Mailing address

2100 E Colorado Blvd Ste 1
Pasadena, CA 91107-5860
Phone (626) 229-9865

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
I20080214000250 CA Practitioner - Nurse Practitioner 7517040520 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
16326CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Huntington Specialist & Nursing Corporation CurrentSince Nov 1, 2015 Accepting new patients
Huntington Geriatric Medical Group CurrentSince Oct 1, 2007 Accepting new patients
Cindy Alberts Carson MD Inc PastSince Jan 1, 2010 Accepting new patients
Pasadena Hospital Association, LTD. PastSince Oct 1, 2007 Accepting new patients

Locations

5353 G St
Chino, CA 91710
Phone (626) 335-1919

517 S Myrtle Ave
Ste 101
Monrovia, CA 91016
Phone (626) 358-0322

2100 E Colorado Blvd
Ste 1
Pasadena, CA 91107
Phone (626) 229-9865

4619 Rosemead Blvd
#M
Rosemead, CA 91770

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1295836773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 E COLORADO BLVD STE 1",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911075860",
            "telephone_number": "626-229-9865",
            "fax_number": "626-229-9867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 E COLORADO BLVD STE 1",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91107",
            "telephone_number": "626-229-9865",
            "fax_number": "626-229-9867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDEZ-MAGUIRE",
        "first_name": "GRACIELA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "458977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.