GRACE MEDINA PEREZ RN NPI 1679489702

NPI Information

  • NPI: 1679489702
  • Provider Name: GRACE MEDINA PEREZ, RN
  • Classification: Registered Nurse - 163WG0000X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 10391 CORPORATE DR
    REDLANDS, CA
    ZIP 92374
  • Phone: (909) 825-7084

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NPI Details

Grace Medina Perez, RN is a general practice registered nurse in Redlands, CA. Grace Medina Perez, RN NPI is 1679489702. 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:

10391 CORPORATE DR
REDLANDS, CA
ZIP 92374-509
Phone: (909) 825-7084
Fax: (909) 825-7084

The enumeration date for this NPI number is 8/19/2026 and was last updated on 8/19/2026.

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
1163WG0000XRegistered NurseGeneral PracticeRN500123CALIFORNIAYes

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

NPI Synchronization or Removal

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