Active NPI
Maria Gracian Lavalle, NPF
- Family Nurse Practitioner
- Lincoln, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP95017863
- Practice address
- 77 Lincoln Blvd Ste 1
Lincoln, CA 95648-7422 - Phone
- (916) 258-2751
- NPI assigned
- Aug 11, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP95017863 | CA | Primary |
Addresses
Primary practice location
77 Lincoln Blvd Ste 1
Lincoln, CA 95648-7422
Mailing address
8519 Emilia Dr
El Dorado Hills, CA 95762-4181
Phone (480) 678-9679
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1201 E Bidwell St
Folsom, CA 95630-3450
Phone (916) 920-6337
4112 E Commerce Way
Sacramento, CA 95834-9680
Phone (916) 447-6337
4156 Manzanita Ave
Suite 100
Carmichael, CA 95608-1496
Phone (916) 488-6337
701 Sunrise Ave
Roseville, CA 95661-4502
Phone (916) 772-6337
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP95017863 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carbon Health Medical Group of California PC | Single Specialty | Current | Accepting new patients |
| Carbon Health Medical Group of California PC | Single Specialty | Current | Accepting new patients |
| Carbon Health Primary Care of California PC | Single Specialty | Past | Accepting new patients |
Locations
2690 5th St
Ste B
Alameda, CA 94501
Phone (510) 439-9447
7330 El Camino Real
Atascadero, CA 93422
Phone (805) 703-2501
1760 S Bascom Ave
Ste 140
Campbell, CA 95008
Phone (408) 214-9732
6971 El Camino Real
Ste 101
Carlsbad, CA 92009
Phone (760) 258-4971
4156 Manzanita Ave
Ste 100
Carmichael, CA 95608
Phone (916) 483-5400
11971 Central Ave
Ste B
Chino, CA 91710
Phone (909) 310-1488
3955 Bedford Canyon Rd
Unit 103
Corona, CA 92883
Phone (951) 293-4722
303 Corte Madera Town Ctr
Corte Madera, CA 94925
Phone (415) 840-8615
14443 Culver Dr
#14443A
Irvine, CA 92604
Phone (949) 767-8173
806 New Los Angeles Ave
Moorpark, CA 93021
Phone (805) 334-8650
401 Grand Ave
#1112
Oakland, CA 94610
Phone (800) 756-4206
1390 Market St
Ste 109
San Francisco, CA 94102
Phone (415) 918-5766
46 Hillsdale Mall
San Mateo, CA 94403
Phone (650) 769-5612
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Carbon Health
- Urgent Care Clinic/Center
- Berkeley, CA
- NPI 1417294232
Single Specialty
-
- Health Service Clinic/Center
- Westlake Village, CA
- NPI 1467074963
-
dba Carbon Health
- Urgent Care Clinic/Center
- Pasadena, CA
- NPI 1255957205
Single Specialty
-
- Multi-Specialty Clinic/Center
- Berkeley, CA
- NPI 1972057990
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628640000000",
"number": "1831864990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8519 EMILIA DR",
"city": "EL DORADO HILLS",
"state": "CA",
"postal_code": "957624181",
"telephone_number": "480-678-9679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 LINCOLN BLVD STE 1",
"city": "LINCOLN",
"state": "CA",
"postal_code": "956487422",
"telephone_number": "916-258-2751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRACIAN LAVALLE",
"first_name": "MARIA",
"credential": "NPF",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-11",
"last_updated": "2021-08-11",
"certification_date": "2021-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "NP95017863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, CA
- Corinne K Giantonio, PH.D
- Gill and Lopez Dental Corporation (Parkway Dental Group)
- Harjeet Kaur Gill, PHARMD
- Teri Lynn Gilmore
- Nancy Jean Glass, MFT MARRIAGE AND FM
- Granite Pointe Eye Care, Inc., an Optometric Corporation (Eye-Q Optometry)
- Granite Wellness Centers (Lincoln Service Center)
- Chue Gray, LVN
- Luz D. Guerrero, MD
- Kelly Hackney, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.