Individual provider Active NPI

John Walter Lace, M.D., F.C.C.P.

  • Critical Care Medicine (Internal Medicine) Physician
  • Grass Valley, CA
National Provider Identifier
1104840461
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
G085476 Issued in CA
Practice address
140 Litton Dr Ste 120
Grass Valley, CA 95945-5080
Phone
(530) 477-7782
Fax
(530) 477-7792
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X G085476 CA Primary

Addresses

Primary practice location

140 Litton Dr Ste 120
Grass Valley, CA 95945-5080

Mailing address

140 Litton Dr Ste 120
Grass Valley, CA 95945-5080
Phone (530) 477-7782

Other identifiers 1

IdentifierTypeStateIssuer
00G854760MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040921000293 CA Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 3072581024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists)
Education
University of Pittsburgh School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dignity Health Medical FoundationGroup PAC ID 7810800661, 1,211 clinicians

Practice addresses (Care Compare)

280 Sierra College Dr
Suite 105
Grass Valley, CA 95945-5763
Phone (530) 477-4480

Hospital & facility affiliations

  • Sierra Nevada Memorial Hospital Hospital, Grass Valley, CA, CCN 050150

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
85476CAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
G085476CAMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Medical Foundation CurrentSince Jul 10, 2023 Accepting new patients
Dignity Health Medical Foundation CurrentSince Jul 10, 2023 Accepting new patients
Dignity Health Medical Foundation Past Accepting new patients
Dignity Health Past Accepting new patients
Sierra Nevada Memorial-Miners Hospital Past Accepting new patients

Locations

105 Catherine Ln
Grass Valley, CA 95945
Phone (530) 273-2525

280 Sierra College Dr
Ste 105
Grass Valley, CA 95945
Phone (530) 273-3400

3000 Q St
Sacramento, CA 95816
Phone (916) 733-5701

Organizations & group practices 5

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 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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1104840461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 LITTON DR STE 120",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455080",
            "telephone_number": "530-477-7782",
            "fax_number": "530-477-7792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 LITTON DR STE 120",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455080",
            "telephone_number": "530-477-7782",
            "fax_number": "530-477-7792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACE",
        "first_name": "JOHN",
        "middle_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "M.D., F.C.C.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "G085476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G854760",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, CA

Sources for this page

Verify at the official NPI Registry.