Grace Medical Ipa

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

GRACE MEDICAL IPA

Practice address

6301 Beach Blvd Ste 282
Buena Park, CA 90621-4040

Phone

(714) 690-0080

NPI assigned

Aug 4, 2010

Organization subpart

No

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

Authorized official

Name

Joseph D Chun, MD

Title

President

Phone

(714) 690-0080

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280880000000",
    "number": "1205140969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 BEACH BLVD STE 282",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906214040",
            "telephone_number": "714-690-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 BEACH BLVD STE 282",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906214040",
            "telephone_number": "714-690-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE MEDICAL IPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-04",
        "last_updated": "2010-08-04",
        "status": "A",
        "authorized_official_last_name": "CHUN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-690-0080",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernarda Brenda Gonzalez
• Edgardo Gonzalez, M.D
• Goodman Maa DDS
• Claire Goodman, RN
• Bahram Goshtasbi, D.C.
• Greater Anaheim Special Education Local Plan Area
• Heather A Guay, MFTI
• Ricardo Manalaysay Guinto Jr., NP
• Sondra Dee Gulyassy
• Jeong Yoon Ha

• Health Maintenance Organization in Buena Park, CA
• Providers in Buena Park, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; 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.