Graciela Medrano, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

693753 Issued in CA

Practice address

2055 Lincoln Ave
Pasadena, CA 91103-1324

Phone

(626) 398-6300

NPI assigned

Jan 8, 2018

Last updated

Jan 8, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515369600000",
    "number": "1700393089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18657 E ARROW HWY APT D",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917221854",
            "telephone_number": "626-243-6023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 LINCOLN AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911031324",
            "telephone_number": "626-398-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDRANO",
        "first_name": "GRACIELA",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-08",
        "last_updated": "2018-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "693753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meditas Corporation (Health Care Provider)
• Nia Nichelle Ada Medlock
• Medquest Medical Transport
• Adriana L Medrano, PH.D.
• Efrain O Medrano Jr.
• Medwave Home Health Inc
• Medz Hospice Care, LLC
• Emily Meehan
• Sean T Meehan, L.M.F.T
• Devon Lamont Meekins

• Licensed Vocational Nurse in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; 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.