NPIMap

Organization Active NPI

Grace Family Health, Inc.

Doing business as Murrieta Express Care

  • Primary Care Clinic/Center
  • Murrieta, CA
National Provider Identifier
1033426028
Registry record updated Jan 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A066038 Issued in CA
Legal business name
GRACE FAMILY HEALTH, INC.
Doing business as
Murrieta Express Care
Practice address
24910 Las Brisas Rd
Suite 105
Murrieta, CA 92562-4010
Phone
(951) 231-1385
Fax
(951) 461-9191
NPI assigned
Sep 12, 2010
Last updated
Jan 7, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Lily Yung Phillips, M.D.NPI 1841348653
Title
President
Phone
(951) 231-1385

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X A066038 CA Primary
Urgent Care Clinic/Center 261QU0200X A066038 CA

Addresses

Primary practice location

24910 Las Brisas Rd
Suite 105
Murrieta, CA 92562-4010

Mailing address

23811 Washington Ave
C110-220
Murrieta, CA 92562-2267
Phone (951) 231-1385

Other names 1

  • Murrieta Express Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110228000360 CA Part B Supplier - Clinic/Group Practice 0749461531 Receives reassigned benefits from 7 practitioners
Practice locations: Menifee, CA; Murrieta, CA; Temecula, CA
O20170712002505 CA DME Supplier - Physician - General Practice 0749461531 Practice locations: Murrieta, CA

National Provider Directory

National Provider Directory

Locations

23811 Washington Ave
#C110220
Murrieta, CA 92562
Phone (951) 231-1385

31565 Rancho Pueblo Rd
Ste 102B
Temecula, CA 92592
Phone (951) 231-1385

43442 Business Park Dr
Temecula, CA 92590

43446 Business Park Dr
Temecula, CA 92590

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483747200000",
    "number": "1033426028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23811 WASHINGTON AVE",
            "address_2": "C110-220",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925622267",
            "telephone_number": "951-231-1385",
            "fax_number": "866-686-7693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24910 LAS BRISAS RD",
            "address_2": "SUITE 105",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925624010",
            "telephone_number": "951-231-1385",
            "fax_number": "951-461-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE FAMILY HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-12",
        "last_updated": "2017-01-07",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "LILY",
        "authorized_official_middle_name": "YUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-231-1385",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A066038",
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CA",
            "license": "A066038",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Murrieta Express Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.