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TRACY GAGE LVN
NPI 1508472887
Licensed Vocational Nurse in Santa Monica, CA

Active since September 22, 2020
909 PICO BLVD, SANTA MONICA, CA 90405(310) 314-6200 Get Directions Write a Review

NPPES record last updated: September 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tracy Gage Lvn NPPES

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

TRACY GAGE LVN (NPI 1508472887) is an individual licensed vocational nurse in Santa Monica, California, licensed in California (288153) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1508472887
Entity TypeIndividualFemale
Primary Taxonomy164X00000X
Provider Legal NameTRACY GAGECredential: LVN
Location Address909 PICO BLVDSanta Monica, CA 90405-1326
Mailing Address2644 30th St Ste 100Santa Monica, CA 90405-3051 · (310) 314-6200 · Fax (310) 450-2024
Phone(310) 314-6200
Sole ProprietorYes
Enumeration DateSeptember 22, 2020
NPPES CertifiedSeptember 17, 2020
✔ NPI 1508472887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License✔ Licensed in CA · 288153
Definition

A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

909 PICO BLVD, Santa Monica, CA 90405
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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.

MR. FARES SALIB
Student in an Organized Health Care Education/Training Program
909 PICO BLVD
SANTA MONICA, CA 90405
Los Angeles County (949) 344-0543
VANESSA BELTRAMINO EVANS ME.D., LPCA, CADC II
Counselor (Addiction (Substance Use Disorder))
909 PICO BLVD
SANTA MONICA, CA 90405
Los Angeles County (310) 314-6200
DEBRA LEE POORMAN
Counselor (Addiction (Substance Use Disorder))
909 PICO BLVD
SANTA MONICA, CA 90405
Los Angeles County (310) 614-6200
DARLENE GUTIERREZ
Counselor (Addiction (Substance Use Disorder))
909 PICO BLVD
SANTA MONICA, CA 90405
Los Angeles County (310) 314-6200
DIVINA LIZA BAHAM
Counselor (Addiction (Substance Use Disorder))
909 PICO BLVD
SANTA MONICA, CA 90405
Los Angeles County (310) 314-6200
CLARE MATRIX
Substance Abuse Rehabilitation Facility
909 PICO BLVD
SANTA MONICA, CA 90405
Los Angeles County (310) 314-6200
MATT KYLE BERMUDEZ
Physician Assistant (Medical)
909 PICO BLVD
SANTA MONICA, CA 90405
Los Angeles County (310) 314-6200
EBONY SHERRIKA HILL
Counselor (Addiction (Substance Use Disorder))
909 PICO BLVD
SANTA MONICA, CA 90405
Los Angeles County (310) 314-6200

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 Tracy Gage's NPI number?

The NPI number for Tracy Gage is 1508472887. It was assigned to this individual provider in the NPPES registry on September 22, 2020.

Where is Tracy Gage located?

Tracy Gage practices at 909 Pico Blvd, Santa Monica, CA 90405. The listed phone number is (310) 314-6200.

What is Tracy Gage's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Tracy Gage was last updated on September 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.