Gracevine Healthcare Svcs a Professnal Nursing Corp
NPI 1255050084 · Family Nurse Practitioner · San Bernardino, CA
Gracevine Healthcare Svcs a Professnal Nursing Corp is a Family Nurse Practitioner organization in San Bernardino, CA (NPI 1255050084).
Provider details
- NPI number
- 1255050084
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Oluwayemisi Daramola, Owner(909) 743-1300
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-08-24
- Last updated
- 2025-05-27
- Certified
- 2025-05-27
Frequently asked questions
- What is Gracevine Healthcare Svcs a Professnal Nursing Corp's NPI number?
- Gracevine Healthcare Svcs a Professnal Nursing Corp's National Provider Identifier (NPI) is 1255050084, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Gracevine Healthcare Svcs a Professnal Nursing Corp?
- Gracevine Healthcare Svcs a Professnal Nursing Corp is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Gracevine Healthcare Svcs a Professnal Nursing Corp located?
- Gracevine Healthcare Svcs a Professnal Nursing Corp's practice location on file with NPPES is 473 E Carnegie Dr Ste 200, San Bernardino, CA 92408-4201.
- What is Gracevine Healthcare Svcs a Professnal Nursing Corp's phone number?
- The practice phone number listed in the NPPES registry for Gracevine Healthcare Svcs a Professnal Nursing Corp is (909) 743-1300.
- Who is the authorized official for Gracevine Healthcare Svcs a Professnal Nursing Corp?
- The authorized official listed on Gracevine Healthcare Svcs a Professnal Nursing Corp's NPPES record is Oluwayemisi Daramola, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Gracevine Healthcare Svcs a Professnal Nursing Corp's NPI active?
- Yes — Gracevine Healthcare Svcs a Professnal Nursing Corp's NPI (1255050084) is active in the NPPES registry as of the last update on 2025-05-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.