Individual provider Active NPI

Grace Tang Kiet, MD

  • Infectious Disease Physician
  • Puyallup, WA
National Provider Identifier
1104023688
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MD2023-0276 Issued in NM
Practice address
401 15TH Ave SE
Puyallup, WA 98372-3715
Phone
(253) 697-8277
NPI assigned
Jun 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X MD61061146 WA
Internal Medicine Physician 207R00000X A97564 CA
Infectious Disease Physician 207RI0200X A97564 CA
Pediatrics Physician 208000000X A97564 CA
Infectious Disease Physician 207RI0200X MD2023-0276 NM Primary

Addresses

Primary practice location

401 15TH Ave SE
Puyallup, WA 98372-3715

Mailing address

645 W 9TH St Apt 530
Los Angeles, CA 90015-1652
Phone (518) 253-2285

Other practice location 1

2841 Lomita Blvd
Suite 135
Torrance, CA 90505-5105
Phone (310) 784-6954

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address UNMMG@direct.health.unm.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NM, HI3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20110831000458 CA Practitioner - Infectious DiseasePractitioner - Internal Medicine 6103096136 Reassigns benefits to 2 organizations
I20230907002975 NM Practitioner - Internal Medicine 6103096136 Reassigns benefits to 1 organization
I20240108005665 HI Practitioner - Infectious Disease 6103096136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Albany Medical College of Union University, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hawaii Permanente Medical Group IncGroup PAC ID 7618880667, 705 clinicians

Practice addresses (Care Compare)

3288 Moanalua Rd
Honolulu, HI 96819-1469
Phone (808) 432-0000

Hospital & facility affiliations

  • Kaiser Foundation Hospital Hospital, Honolulu, HI, CCN 120011

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD2023-0276NMMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System Current Accepting new patients
Hawaii Permanente Medical Group Inc CurrentSince Dec 4, 2023 Accepting new patients
Unm Medical Group, Inc. CurrentSince Jul 24, 2023 Accepting new patients
Usc Care Medical Group, Inc Internal Medicine CurrentSince Feb 3, 2023 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Feb 3, 2023 Accepting new patients
Unm Medical Group Inc CurrentSince Jul 24, 2023 Accepting new patients
Torrance Health Association Inc CurrentSince Jun 1, 2020 Accepting new patients
Keck Medical Center of Usc Past Accepting new patients
Usc Verdugo Hills Hospital, LLC Past Accepting new patients
Multicare Health System Past Accepting new patients
Providence Health & Services Washington Past Accepting new patients
The Good Samaritan Hospital of Cincinnati, Ohio Past Accepting new patients
Multicare Health System Past Accepting new patients
Providence Health & Services Washington Past Accepting new patients
Multicare Health System Internal Medicine Past Accepting new patients
Torrance Memorial Medical Center Past Accepting new patients

Locations

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

514 N Prospect Ave
Fl 4
Redondo Beach, CA 90277
Phone (310) 750-3300

2841 Lomita Blvd
Ste 135
Torrance, CA 90505
Phone (310) 784-6952

3400 Lomita Blvd
Ste 104
Torrance, CA 90505
Phone (310) 326-5648

23326 Hawthorne Blvd
Ste 200
Torrance, CA 90505
Phone (310) 257-7205

711 Kapiolani Blvd
Honolulu, HI 96813
Phone (808) 432-5312

3288 Moanalua Rd
Honolulu, HI 96819
Phone (808) 265-9205

800 Bradbury Dr SE
Ste 116
Albuquerque, NM 87106
Phone (505) 272-1476

933 Bradbury Dr SE
Ste 2222
Albuquerque, NM 87106
Phone (505) 272-1476

2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111

Interoperability endpoints

  • Direct secure messaging: gklet487795@direct.multicare.org

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 1

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": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1104023688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 W 9TH ST APT 530",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900151652",
            "telephone_number": "518-253-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 15TH AVE SE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723715",
            "telephone_number": "253-697-8277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2841 Lomita Blvd",
            "address_2": "SUITE 135",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905055105",
            "country_code": "US",
            "telephone_number": "310-784-6954",
            "fax_number": "310-326-5679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIET",
        "first_name": "GRACE",
        "middle_name": "TANG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-28",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "WA",
            "license": "MD61061146",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A97564",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "A97564",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A97564",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NM",
            "license": "MD2023-0276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "UNMMG@direct.health.unm.edu",
            "affiliation": "N",
            "address_1": "800 Bradbury Dr SE Ste 116",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871064310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

Verify at the official NPI Registry.