Active NPI
Delaina Ann Medrano, R.N.
- Registered Nurse
- Long Beach, CA
National Provider Identifier
1306481130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 95407302
- Practice address
- 1775 Chestnut Ave
Long Beach, CA 90813-1674 - Phone
- (562) 599-8444
- NPI assigned
- Nov 15, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 699917 | CA | |
| Registered Nurse | 163W00000X | 95407302 | CA | Primary |
Addresses
Primary practice location
1775 Chestnut Ave
Long Beach, CA 90813-1674
Mailing address
1775 Chestnut Ave
Long Beach, CA 90813-1674
Phone (562) 599-8444
Other names 1
- Mrs. Delaina Ann Medrano
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95407302 | CA | MD | Registered Nurse |
| 699917 | CA | MD | Licensed Vocational Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Health Services Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Redgate Memorial Recovery Center
- Substance Abuse Rehabilitation Facility
- Long Beach, CA
- NPI 1134259088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741824000000",
"number": "1306481130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1775 CHESTNUT AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908131674",
"telephone_number": "562-599-8444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1775 CHESTNUT AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908131674",
"telephone_number": "562-599-8444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDRANO",
"first_name": "DELAINA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-15",
"last_updated": "2025-03-13",
"certification_date": "2025-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "699917",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95407302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DELAINA",
"last_name": "MEDRANO",
"middle_name": "ANN",
"prefix": "MRS.",
"credential": "LVN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.