Ejw Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A97838 Issued in CA

Legal business name

EJW INC

Doing business as

Grace Family Medical Clinic

Practice address

18331 Gridley Rd
Suite a
Cerritos, CA 90703-5438

Phone

(562) 865-3738

NPI assigned

Jan 3, 2017

Organization subpart

No

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

Authorized official

Name

John Ehum, MDNPI 1942483409

Title

President

Phone

(562) 865-3738

Specialties & licenses 1

Addresses

Other names 1

• GRACE FAMILY MEDICAL CLINIC Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Ehum, MD

  • Family Medicine Physician
  • Santa Ana, CA
  • NPI 1942483409
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483401600000",
    "number": "1215472048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18331 GRIDLEY RD",
            "address_2": "SUITE A",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907035438",
            "telephone_number": "562-865-3738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18331 GRIDLEY RD",
            "address_2": "SUITE A",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907035438",
            "telephone_number": "562-865-3738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EJW INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-03",
        "last_updated": "2017-01-03",
        "status": "A",
        "authorized_official_last_name": "EHUM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-865-3738",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A97838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRACE FAMILY MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Priscilla Echeverria
• Johnny Edrozo, M.D.
• Molly Egan
• Elizaveta Egorova, LMFT
• Alex A Ehsan, M.D,
• Lisa Elder
• Jameelah Elliott
• Jennifer Elliott
• Perpetual Emeana
• Shin Ting En

• Family Medicine Physician in Cerritos, CA
• Providers in Cerritos, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.