Grace Eun Kwon, D.O.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

20A12013 Issued in CA

Practice address

17452 Irvine Blvd Ste 213
Tustin, CA 92780-3031

Phone

(714) 371-6977

Fax

(800) 836-2401

NPI assigned

Mar 23, 2011

Last updated

May 7, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

PsychiatryAlso: Internal Medicine

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Grace Kwon CorporationGroup PAC ID 4688160476, 2 clinicians

Harbor Psychiatry and Mental Health Professional CorporationGroup PAC ID 8729394572, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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

• Grace Kwon Corporation

  • Psychiatry Physician
  • Tustin, CA
  • NPI 1255898706
  Medicare reassignment Care Compare group NPD Authorized official
• Harbor Psychiatry & Mental Health, Professional Corporation

  • Psychiatry Physician
  • Newport Beach, CA
  • NPI 1780050054
  Medicare reassignment Care Compare group NPD
• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846

  Psychiatry

  Medicare reassignment NPD

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1326347873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10212 COWAN HEIGHTS DR",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927051566",
            "telephone_number": "310-753-5805",
            "fax_number": "800-896-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17452 IRVINE BLVD STE 213",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803031",
            "telephone_number": "714-371-6977",
            "fax_number": "800-836-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWON",
        "first_name": "GRACE",
        "middle_name": "EUN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-23",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "20A12013",
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "CA",
            "license": "20A12013",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KWON MEDICAID",
            "identifier": "008059045",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KWON MEDICARE",
            "identifier": "D400248447",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kumkum Patel MD Inc- a Medical Corporation
• Thomas V Kurien, B.PHARM
• Miki Kusaka
• Donald Kuskin, PHYSICAL THERAPIST
• Jae H. Kwak, D.M.D.
• Susan Kwon, DMD
• Kyk Medical Professional Corporation (Kyk Medical, Inc)
• Laboratory Corporation of America
• Labwest, Inc
• Wendy Diane Lagreen, PSY.D.

• Psychiatry Physician in Tustin, CA
• Providers in Tustin, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.