Grace Mobile Medical Group

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

GRACE MOBILE MEDICAL GROUP

Practice address

17315 Studebaker Rd Ste 204
Cerritos, CA 90703-2508

Phone

(310) 295-6492

Fax

(310) 295-6542

NPI assigned

Apr 15, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Roland T Flores, RN

Title

Ceo

Phone

(310) 245-1414

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1744675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744675200000",
    "number": "1447046883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17315 STUDEBAKER RD STE 204",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032508",
            "telephone_number": "310-295-6492",
            "fax_number": "310-295-6542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17315 STUDEBAKER RD STE 204",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032508",
            "telephone_number": "310-295-6492",
            "fax_number": "310-295-6542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE MOBILE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-15",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "ROLAND",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-245-1414",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Gonzalez
• Victor Martin Gonzalez
• Victoria Gonzalez
• Dennis Lising Gorospe, D.D.S.
• Hadil Goubrail, DDS
• Christina Gracia, MSW
• Gennifer Michelle Graham
• Timothy Granada
• Analiese Granados
• Miranda Gray

• Primary Care Nurse Practitioner in Cerritos, CA
• Providers in Cerritos, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.