MS. BEVERLY GRANDA NPI 1366615064

NPI Information

  • NPI: 1366615064
  • Provider Name: MS. BEVERLY GRANDA
  • Classification: Registered Nurse - 163WC0400X
  • Specialization: Case Management
  • Entity Type: Individual
  • Address: 2536 LAFAYETTE DR
    DAVIS, CA
    ZIP 95618
  • Phone: (510) 866-9699

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NPI Details

MS. Beverly Granda is a case management registered nurse in Davis, CA. MS. Beverly Granda NPI is 1366615064. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2536 LAFAYETTE DR
DAVIS, CA
ZIP 95618-548
Phone: (510) 866-9699

The enumeration date for this NPI number is 4/2/2008 and was last updated on 4/2/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WC0400XRegistered NurseCase Management374645CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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