Individual provider Active NPI

Grace Hwang, MD

  • Surgery Physician
  • Orange, CA
National Provider Identifier
1053720797
Registry record updated Mar 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A125505 Issued in CA
Practice address
1010 W la Veta Ave Ste 470
Orange, CA 92868-4305
Phone
(714) 202-5682
Fax
(714) 835-8304
NPI assigned
Aug 6, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A125505 CA Primary

Addresses

Primary practice location

1010 W la Veta Ave Ste 470
Orange, CA 92868-4305

Mailing address

1010 W la Veta Ave Ste 470
Orange, CA 92868-4305
Phone (714) 202-5682

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140903000273 CA Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 4082832159 Reassigns benefits to 2 organizations
I20260424002154 OR Practitioner - General Surgery 4082832159 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
Wayne State University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orange Surgical AssociatesGroup PAC ID 8325577208, 7 clinicians

Practice addresses (Care Compare)

1010 W la Veta Ave
Suite 470
Orange, CA 92868-4305
Phone (714) 835-8300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy26
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A125505CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orange Surgical Associates Surgery CurrentSince Jan 1, 2025 Accepting new patients

Locations

3400 W Ball Rd
Ste 208
Anaheim, CA 92804
Phone (714) 761-0759

1010 W La Veta Ave
Ste 470
Orange, CA 92868
Phone (714) 202-5682

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CDEBCD/Endpoint/CDEBCD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584316800000",
    "number": "1053720797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 W LA VETA AVE STE 470",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684305",
            "telephone_number": "714-202-5682",
            "fax_number": "714-835-8304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 W LA VETA AVE STE 470",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684305",
            "telephone_number": "714-202-5682",
            "fax_number": "714-835-8304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HWANG",
        "first_name": "GRACE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-06",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A125505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.