JUAN ANGEL GRACIANO LVN
NPI 1477998136
Clinic/Center - Methadone in San Diego, CA
NPI Status: Active since May 07, 2013
Contact Information
3940 HOME AVE
SAN DIEGO, CA
ZIP 92105
Phone: (619) 262-8000
Fax: (619) 266-7405
- Individual
- Male
- Clinic/Center
- Methadone
About JUAN GRACIANO
This page provides the complete NPI Profile along with additional information for Juan Graciano, a provider established in San Diego, California with a medical specialization in Clinic/center, focusing in methadone . The healthcare provider is registered in the NPI registry with number 1477998136 assigned on May 2013. The practitioner's primary taxonomy code is 261QM2800X with license number 269870 (CA). The provider is registered as an individual and his NPI record was last updated 12 years ago.
- NPI
- 1477998136
- Provider Name
- JUAN ANGEL GRACIANO LVN
- Other Name
- MR. JUAN ANGEL GRACIANO LVN
- Other Name Type
- Professional Name (2)
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3940 HOME AVE SAN DIEGO, CA 92105
- Location Phone
- (619) 262-8000
- Location Fax
- (619) 266-7405
- Mailing Address
- 848 COLORADO AVE APT A CHULA VISTA, CA 91911
- Mailing Phone
- (619) 934-1774
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-07-2013
- Last Update Date
- 05-07-2013
- Code Navigator
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
Clinic/Center Methadone
- Taxonomy Code
- 261QM2800X
- Type
- Ambulatory Health Care Facilities
- License No.
- 269870
- License State
- CA
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 7 | 7 | 9 | 9 | 8 | 1 | 3 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 14 | 7 | 18 | 9 | 16 | 1 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 4 + 7 + 1 + 8 + 9 + 1 + 6 + 1 + 6 + 24 = 74 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 74 = 6 | 6 | ||||||||
The NPI number 1477998136 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1508080789 | MS. ANDREA CATHRINE HARVEY MA, MFTI Individual | Counselor (Mental Health) | 3940 HOME AVE SAN DIEGO, CA 92105 (619) 262-8000 |
| 1861619181 | MR. CHARLES M NALL Individual | Counselor (Addiction (Substance Use Disorder)) | 3940 HOME AVE SAN DIEGO, CA 92105 (619) 262-8000 |
| 1548481831 | LENIE NAZARENO Individual | Counselor | 3940 HOME AVE SAN DIEGO, CA 92105 (619) 262-8000 |
| 1346461548 | DARLENE MARIE GOLDNER B.S.,RRW Individual | Counselor (Addiction (Substance Use Disorder)) | 3940 HOME AVE SAN DIEGO, CA 92105 (619) 262-8000 |
| 1285821389 | DUANGTAVAN SOURIVONG Organization | Clinic/Center (Methadone) | 3940 HOME AVE SAN DIEGO, CA 92105 (619) 262-8000 |
| 1588849046 | PENNY EVANS Individual | Counselor (Addiction (Substance Use Disorder)) | 3940 HOME AVE SAN DIEGO, CA 92105 (619) 262-8000 |
| 1851561179 | KIMBERLE BURCH LEMON LVN Individual | Licensed Vocational Nurse | 3940 HOME AVE SAN DIEGO, CA 92105 (619) 262-8000 |
| 1780821934 | MARLA GONZALES Individual | Licensed Vocational Nurse | 3940 HOME AVE SAN DIEGO, CA 92105 (619) 262-8000 |
| 1427385095 | LINDA PATRICIA BROMLEY RRW Individual | Counselor (Addiction (Substance Use Disorder)) | 3940 HOME AVE SAN DIEGO, CA 92105 (619) 262-8000 |
| 1700109865 | ROXY RAE WALNUM M.A., R.A.S. Individual | Counselor (Addiction (Substance Use Disorder)) | 3940 HOME AVE SAN DIEGO, CA 92105 (619) 262-8000 |
| 1255691853 | KARLA JEAN LIGHTNER Individual | Counselor (Addiction (Substance Use Disorder)) | 3940 HOME AVE SAN DIEGO, CA 92105 (619) 262-8000 |
| 1730359159 | CARLA MARIE PAYNE PSY.D Individual | Psychologist (Clinical) | 3940 HOME AVE SAN DIEGO, CA 92105 (619) 282-6000 |
| 1457602724 | ZUJHEI LEON Individual | Counselor (Addiction (Substance Use Disorder)) | 3940 HOME AVE SAN DIEGO, CA 92105 (619) 262-8800 |
| 1285986430 | CRC HOME AVENUE CLINIC Organization | Clinic/Center (Methadone) | 3940 HOME AVE SAN DIEGO, CA 92105 (619) 262-8800 |
| 1255774923 | CHARYL LORRAINE CRAWFORD LVN Individual | Licensed Practical Nurse | 3940 HOME AVE SAN DIEGO, CA 92105 (619) 262-8000 |
| 1598144081 | WILLIAM LOCH CAADE Individual | Counselor (Addiction (Substance Use Disorder)) | 3940 HOME AVE SAN DIEGO, CA 92105 (619) 262-8000 |
| 1962876797 | JENNY SORIA LVN Individual | Licensed Vocational Nurse | 3940 HOME AVE SAN DIEGO, CA 92105 (619) 262-8000 |
| 1770944027 | HOME AVENUE CTC Organization | Clinic/Center (Health Service) | 3940 HOME AVE SAN DIEGO, CA 92105 (619) 282-8000 |
| 1588026611 | KRISTAL CARDENAS-GACHUPIN CATC Individual | Counselor (Addiction (Substance Use Disorder)) | 3940 HOME AVE SAN DIEGO, CA 92105 (619) 262-8000 |
| 1992153829 | LORI SUTTON CATC Individual | Counselor (Addiction (Substance Use Disorder)) | 3940 HOME AVE SAN DIEGO, CA 92105 (619) 262-8000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477998136, enumerated in the NPI registry as an "individual" on May 07, 2013
The provider is located at 3940 Home Ave San Diego, Ca 92105 and the phone number is (619) 262-8000
The provider's speciality is Clinic/Center with taxonomy code 261QM2800X with a focus in Methadone
This NPI record was last updated on May 07, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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