GRACEVINE HEALTHCARE SVCS A PROFESSNAL NURSING CORP
NPI 1255050084
Nurse Practitioner - Family in San Bernardino, CA
NPI Status: Active since August 24, 2022
Contact Information
473 E CARNEGIE DR STE 200
SAN BERNARDINO, CA
ZIP 92408
Phone: (909) 743-1300
- Organization
- Nurse Practitioner
- Family
About GRACEVINE HEALTHCARE SVCS A PROFESSNAL NURSING CORP
This page provides the complete NPI Profile along with additional information for Gracevine Healthcare Svcs A Professnal Nursing Corp, a provider established in San Bernardino, California operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1255050084 assigned on August 2022. The practitioner's primary taxonomy code is 363LF0000X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Oluwayemisi Daramola (Owner)
- NPI
- 1255050084
- Provider Name
- GRACEVINE HEALTHCARE SVCS A PROFESSNAL NURSING CORP
- Entity Type
- Organization
- Location Address
- 473 E CARNEGIE DR STE 200 SAN BERNARDINO, CA 92408
- Location Phone
- (909) 743-1300
- Mailing Address
- 473 E CARNEGIE DR STE 200 SAN BERNARDINO, CA 92408
- Mailing Phone
- (909) 743-1300
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-24-2022
- Last Update Date
- 05-27-2025
- Code Navigator
A nurse practitioner (NP) like Gracevine Healthcare Svcs A Professnal Nursing Corp is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1255050084, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 46 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
SAN BERNADINO, CA 92408
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255050084, enumerated as an "organization" on August 24, 2022.
The provider is located at 473 E CARNEGIE DR STE 200 SAN BERNARDINO, CA 92408 and the phone number is (909) 743-1300.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
