Individual provider Active NPI

Graciela E Anobile, NP

  • Women's Health Nurse Practitioner
  • Loma Linda, CA
National Provider Identifier
1932401445
Registry record updated Dec 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
382579 Issued in CA
Practice address
25243 Shepardson Dr
Apt. 3
Loma Linda, CA 92354-2926
Phone
(909) 796-2157
NPI assigned
Dec 3, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 382579 CA Primary

Addresses

Primary practice location

25243 Shepardson Dr
Apt. 3
Loma Linda, CA 92354-2926

Mailing address

25243 Shepardson Dr
Apt. 3
Loma Linda, CA 92354-2926
Phone (909) 796-2157

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
382579CAMDWomen's Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1291334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291334400000",
    "number": "1932401445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25243 SHEPARDSON DR",
            "address_2": "APT. 3",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923542926",
            "telephone_number": "909-796-2157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25243 SHEPARDSON DR",
            "address_2": "APT. 3",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923542926",
            "telephone_number": "909-796-2157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANOBILE",
        "first_name": "GRACIELA",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-03",
        "last_updated": "2010-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "382579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loma Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; 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.