Individual provider Active NPI

Grace M Chau, NP

  • Family Nurse Practitioner
  • Laguna Hills, CA
National Provider Identifier
1225670565
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95013676 Issued in CA
Practice address
23521 Paseo de Valencia Ste 311
Laguna Hills, CA 92653-3144
Phone
(949) 305-2660
NPI assigned
Oct 8, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95013676 CA Primary

Addresses

Primary practice location

23521 Paseo de Valencia Ste 311
Laguna Hills, CA 92653-3144

Mailing address

27768 Emerald
Mission Viejo, CA 92691-6457

Other practice location 1

26800 Crown Valley Pkwy Ste 103
Mission Viejo, CA 92691-6389
Phone (949) 347-2822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200604000974 CA Practitioner - Nurse Practitioner 1658792304 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jeremy la Motte MDGroup PAC ID 2365866746, 3 clinicians

Practice addresses (Care Compare)

24953 Paseo de Valencia
BLDG B
Laguna Hills, CA 92653-4342
Phone (949) 900-2393

Hospital & facility affiliations

  • Providence Mission Hospital Hospital, Mission Viejo, CA, CCN 050567
  • Memorialcare Saddleback Medical Center Hospital, Laguna Hills, CA, CCN 050603

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95013676CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation CurrentSince Mar 1, 2021 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Providence Medical Foundation CurrentSince Mar 1, 2021 Accepting new patients
Advanced Geriatric Care and Family Practice Associates CurrentSince Mar 1, 2020 Accepting new patients
Jeremy la Motte MD CurrentSince Jun 1, 2023 Accepting new patients

Locations

1950 Sunny Crest Dr
Ste 2900
Fullerton, CA 92835

100 E Valencia Mesa Dr
Ste 105
Fullerton, CA 92835
Phone (714) 446-5200

13075 Blackbird St
Garden Grove, CA 92843
Phone (714) 530-6322

24953 Paseo de Valencia
Ste 10B
Laguna Hills, CA 92653
Phone (949) 900-2393

24953 Paseo de Valencia
Bldg B
Laguna Hills, CA 92653
Phone (949) 540-0170

23521 Paseo de Valencia
Ste 311
Laguna Hills, CA 92653
Phone (949) 305-2660

26522 La Alameda
Ste 120
Mission Viejo, CA 92691
Phone (949) 282-1671

26800 Crown Valley Pkwy
Ste 300
Mission Viejo, CA 92691

26800 Crown Valley Pkwy
Ste 103
Mission Viejo, CA 92691
Phone (949) 347-2822

1300 Avenida Vista Hermosa
Ste 100
San Clemente, CA 92673
Phone (949) 218-3001

31103 Rancho Viejo Rd
Ste D2006
San Juan Capo, CA 92675

Interoperability endpoints

  • Direct secure messaging: grace.chau.1@20552.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/20552/brand/1/csg/1/fhir/r4

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1225670565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27768 EMERALD",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23521 PASEO DE VALENCIA STE 311",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533144",
            "telephone_number": "949-305-2660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26800 Crown Valley Pkwy Ste 103",
            "address_purpose": "LOCATION",
            "city": "Mission Viejo",
            "state": "CA",
            "postal_code": "926916389",
            "country_code": "US",
            "telephone_number": "949-347-2822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAU",
        "first_name": "GRACE",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-08",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95013676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.