Gracevine Healthcare Svcs A Professnal Nursing Corp
NPI 1255050084ActiveOrganization· Nurse Practitioner, Family· San Bernardino, CA
Nurse Practitioner, Family in San Bernardino, California, registered in NPPES in August 2022. The authorized official on file is Oluwayemisi Daramola, Owner.
Overview
| NPI | 1255050084 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 24, 2022 |
| Last updated in NPPES | May 27, 2025 |
| Certified by provider | May 27, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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