Active NPI
Grace Medical Group of the Valley Inc
- Family Medicine Physician
- Pomona, CA
National Provider Identifier
1215965223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- GRACE MEDICAL GROUP OF THE VALLEY INC
- Practice address
- 2740 N Garey Ave
Suite 100
Pomona, CA 91767-1800 - Phone
- (909) 392-3230
- Fax
- (909) 392-3224
- NPI assigned
- Jun 29, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Craig Endo, M.D.
- Title
- Ceo
- Phone
- (909) 392-3230
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
2740 N Garey Ave
Suite 100
Pomona, CA 91767-1800
Mailing address
PO Box 1628
Claremont, CA 91711
Phone (909) 392-3230
National Provider Directory
National Provider DirectoryLocations
2740 N Garey Ave
Pomona, CA 91767
Phone (909) 623-2300
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Pomona, CA
- NPI 1790881159
-
- Cardiovascular Disease Physician
- Pomona, CA
- NPI 1346217551
-
- Medical Physician Assistant
- Pomona, CA
- NPI 1881321123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1498521600000",
"number": "1215965223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1628",
"city": "CLAREMONT",
"state": "CA",
"postal_code": "91711",
"telephone_number": "909-392-3230",
"fax_number": "909-392-3224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2740 N GAREY AVE",
"address_2": "SUITE 100",
"city": "POMONA",
"state": "CA",
"postal_code": "917671800",
"telephone_number": "909-392-3230",
"fax_number": "909-392-3224"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRACE MEDICAL GROUP OF THE VALLEY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-29",
"last_updated": "2017-06-27",
"status": "A",
"authorized_official_last_name": "ENDO",
"authorized_official_first_name": "CRAIG",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "909-392-3230",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.