Genevieve Gradilla, LVN is a
Licensed Vocational Nurse based in Riverside, California. Genevieve Gradilla is licensed to practice in California (license number 184950) and her current practice location is
4440 University Ave, Riverside, California. She can be reached at her office (for appointments etc.) via phone at
(951) 683-6596.
NPI number for Genevieve Gradilla is 1124601315 and her current mailing address is 5870 Arlington Ave, Riverside, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124601315.
Healthcare Provider's Profile
Full Name | Genevieve Gradilla |
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Gender | Female |
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Speciality | Licensed Vocational Nurse |
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Location | 4440 University Ave, Riverside, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1124601315
- Provider Enumeration Date: 05/04/2021
- Last Update Date: 11/14/2024
Medical Identifiers
Medical identifiers for Genevieve Gradilla such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124601315 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | VN184950 (California) | Secondary |
164X00000X | Licensed Vocational Nurse | 184950 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Genevieve Gradilla is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Genevieve Gradilla, LVN 5870 Arlington Ave, Riverside, CA 92504-2037 Ph: (951) 683-9596 | Genevieve Gradilla, LVN 4440 University Ave, Riverside, CA 92501-3199 Ph: (951) 683-6596 |
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