Individual provider Active NPI

Maria Gracian Lavalle, NPF

  • Family Nurse Practitioner
  • Lincoln, CA
National Provider Identifier
1831864990
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95017863 Issued in CA
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

Updated by the provider on Aug 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250829000294 CA Practitioner - Nurse Practitioner 2466953682 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
NP95017863CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carbon Health Medical Group of California PC Single Specialty CurrentSince Nov 2, 2025 Accepting new patients
Carbon Health Medical Group of California PC Single Specialty CurrentSince Nov 2, 2025 Accepting new patients
Carbon Health Primary Care of California PC Single Specialty PastSince Jul 20, 2025 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.

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

Sources for this page

Verify at the official NPI Registry.