Active NPI
Evan Grace
- Emergency Medicine Physician
National Provider Identifier
1215624135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- DR.0077886
- Practice address
- PSC 475 Box 1
Fpo, AP 96350-1200 - Phone
- (714) 722-1885
- NPI assigned
- Apr 20, 2023
- Last updated
- Oct 9, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | DR.0077886 | CO | Primary |
Addresses
Primary practice location
PSC 475 Box 1
Fpo, AP 96350-1200
Mailing address
PSC 475 Box 1
Fpo, AP 96350-1200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791504000000",
"number": "1215624135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "MIL",
"address_1": "PSC 475 BOX 1",
"city": "FPO",
"state": "AP",
"postal_code": "963501200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "MIL",
"address_1": "PSC 475 BOX 1",
"city": "FPO",
"state": "AP",
"postal_code": "963501200",
"telephone_number": "714-722-1885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRACE",
"first_name": "EVAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-20",
"last_updated": "2026-10-09",
"certification_date": "2026-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CO",
"license": "DR.0077886",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.