Organization Active NPI

Grace Ting, DPM, Inc.

  • Foot & Ankle Surgery Podiatrist
  • Alhambra, CA
National Provider Identifier
1245266576
Registry record updated Jun 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E3606 Issued in CA
Legal business name
GRACE TING, DPM, INC.
Practice address
27 W Main St
Suite G
Alhambra, CA 91801-3500
Phone
(626) 289-4379
Fax
(626) 289-4791
NPI assigned
Jun 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2014

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

Authorized official

Name
Dr. Grace Ting, DPMNPI 1871523639
Title
Owner
Phone
(626) 289-4379

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X E3606 CA Primary

Addresses

Primary practice location

27 W Main St
Suite G
Alhambra, CA 91801-3500

Mailing address

27 W Main St
Suite G
Alhambra, CA 91801-3500
Phone (626) 289-4379

Other identifiers 3

IdentifierTypeStateIssuer
GRE001631MedicaidCA
ZZZ08615ZOtherCABLUE SHIELD PROVIDER ID
GRE001630MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050331001030 CA Part B Supplier - Clinic/Group Practice 9830146950 Receives reassigned benefits from 2 practitioners
Practice locations: Alhambra, CA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Grace Ting DPM2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

420 N Garfield Ave
Ste 205
Monterey Park, CA 91754
Phone (626) 572-7601

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403481600000",
    "number": "1245266576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 W MAIN ST",
            "address_2": "SUITE G",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918013500",
            "telephone_number": "626-289-4379",
            "fax_number": "626-289-4791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 W MAIN ST",
            "address_2": "SUITE G",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918013500",
            "telephone_number": "626-289-4379",
            "fax_number": "626-289-4791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE TING, DPM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2014-06-23",
        "status": "A",
        "authorized_official_last_name": "TING",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-289-4379",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E3606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GRE001631",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER ID",
            "identifier": "ZZZ08615Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GRE001630",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.