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JUAN ANGEL GRACIANO LVN
NPI 1477998136
Clinic/Center - Methadone in San Diego, CA

Active since May 07, 2013
3940 HOME AVE, SAN DIEGO, CA 92105(619) 262-8000(619) 266-7405 Get Directions Write a Review

NPPES record last updated: May 7, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Juan Angel Graciano Lvn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUAN ANGEL GRACIANO LVN (NPI 1477998136) is an individual methadone provider in San Diego, California, licensed in California (269870) and active in the NPI registry since May 2013.

NPPES Registry Identity

NPI1477998136
Entity TypeIndividualMale
Primary Taxonomy261QM2800X
Provider Legal NameJUAN ANGEL GRACIANOCredential: LVN
Location Address3940 HOME AVESan Diego, CA 92105-5952
Mailing Address848 Colorado Ave Apt AChula Vista, CA 91911-8143 · (619) 934-1774
Phone(619) 262-8000
Fax(619) 266-7405
Sole ProprietorYes
Enumeration DateMay 7, 2013
✔ NPI 1477998136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
License✔ Licensed in CA · 269870
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
3940 HOME AVE, San Diego, CA 92105
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Other Names 1

Professional Name (2)Mr. Juan Angel Graciano Lvn

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KARLA JEAN LIGHTNER
Counselor (Addiction (Substance Use Disorder))
3940 HOME AVE
SAN DIEGO, CA 92105
San Diego County (619) 262-8000
CHARYL LORRAINE CRAWFORD LVN
Licensed Practical Nurse
3940 HOME AVE
SAN DIEGO, CA 92105
San Diego County (619) 262-8000
DUANGTAVAN SOURIVONG
Clinic/Center (Methadone)
3940 HOME AVE
SAN DIEGO, CA 92105
San Diego County (619) 262-8000
CRC HOME AVENUE CLINIC
Clinic/Center (Methadone)
3940 HOME AVE
SAN DIEGO, CA 92105
San Diego County (619) 262-8800
MARLENE FRANZ
Licensed Vocational Nurse
3940 HOME AVE
SAN DIEGO, CA 92105
San Diego County (619) 262-8000
DARLENE MARIE GOLDNER B.S.,RRW
Counselor (Addiction (Substance Use Disorder))
3940 HOME AVE
SAN DIEGO, CA 92105
San Diego County (619) 262-8000
LINDA PATRICIA BROMLEY RRW
Counselor (Addiction (Substance Use Disorder))
3940 HOME AVE
SAN DIEGO, CA 92105
San Diego County (619) 262-8000
JEREMY STEWART CLOOKIE FNP
Nurse Practitioner (Family)
3940 HOME AVE
SAN DIEGO, CA 92105
San Diego County (619) 262-8000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Juan Graciano's NPI number?

The NPI number for Juan Graciano is 1477998136. It was assigned to this individual provider in the NPPES registry on May 7, 2013. The provider is also known as Mr. Juan Angel Graciano Lvn.

Where is Juan Graciano located?

Juan Graciano practices at 3940 Home Ave, San Diego, CA 92105. The listed phone number is (619) 262-8000.

What is Juan Graciano's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

When was this NPI record last updated?

The NPPES record for Juan Graciano was last updated on May 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.