Kimberly Ann Geraldez Grava, N.P.

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

95005055 Issued in CA

Practice address

201 S Buena Vista St Ste 100
Burbank, CA 91505-4570

Phone

(818) 525-5123

NPI assigned

Dec 29, 2016

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

Other names 1

• Kimberly Ann De Jesus Geraldez Former name

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence Saint Joseph Medical Ctr Hospital, Burbank, CA, CCN 050235

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Providence Medical Institute

  dba Providence Little Company of Mary Medical Institute

  • Family Medicine Physician
  • Torrance, CA
  • NPI 1417915760
  Medicare reassignment NPD
• Providence Medical Institute

  dba Providence Little Company of Mary Medical Institute

  • Family Medicine Physician
  • Torrance, CA
  • NPI 1235182569
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Providence Health System - Southern California

  dba Providence Saint Joseph Medical Center

  • General Acute Care Hospital
  • Burbank, CA
  • NPI 1336173269
  Care Compare affiliation

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

{
    "created_epoch": "1482969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1851836894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S BUENA VISTA ST STE 100",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054570",
            "telephone_number": "818-525-5123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S BUENA VISTA ST STE 100",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054570",
            "telephone_number": "818-525-5123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVA",
        "first_name": "KIMBERLY ANN",
        "middle_name": "GERALDEZ",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-29",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95005055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kgeraldez775380@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "201 S Buena Vista St Ste 100",
            "city": "Burbank",
            "state": "CA",
            "country_code": "US",
            "postal_code": "915054570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KIMBERLY ANN",
            "last_name": "GERALDEZ",
            "middle_name": "DE JESUS",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sharon Scarlet Gramajo-Reyes
• Carol B. Granados, M.S.,R.D.,C.D.E.
• Grande Home Health Care, Inc.
• Grant Serenity Homes of Burbank, Inc.
• Grant Serenity of Verdugo,Inc.
• Gravatis Hospice Care Inc
• Taya Lauren Gray
• Olivia Graza, FNP
• Green Home Health Care, Inc
• Green Path Hospice, Inc.

• Gerontology Nurse Practitioner in Burbank, CA
• Providers in Burbank, CA by specialty
• Gerontology Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.

Verify at the official NPI Registry.