Del Grace

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN348835 Issued in CA

Practice address

1850 S Waterman Ave
Suite F
San Bernardino, CA 92408-2877

Phone

(909) 890-9393

NPI assigned

Dec 9, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Del M. Grace Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1418083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418083200000",
    "number": "1144628041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 S WATERMAN AVE",
            "address_2": "SUITE F",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924082877",
            "telephone_number": "909-890-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 S WATERMAN AVE",
            "address_2": "SUITE F",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924082877",
            "telephone_number": "909-890-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRACE",
        "first_name": "DEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-09",
        "last_updated": "2014-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "RN348835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEL",
            "last_name": "GRACE",
            "middle_name": "M.",
            "prefix": "DR.",
            "credential": "PNP, DNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ebony Gould
• Madeline Gould
• Shannon Marie Goulmassian, RN, CNS
• Brenda Alejandra Govea
• Nadine Grace-Abraham, MD
• Gracevine Healthcare SVCS a Professnal Nursing Corp
• Emely Gracia
• Roxanna Belem Gracia
• Janet Graciano
• Grads Inc.

• Pediatric Nurse Practitioner in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Pediatric Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.