Grace Ann Marie Cabral
Individual provider Active NPI Specialist · Ceres, CA
NPI 1497511554 · NPPES record last updated Feb 26, 2024
Key facts
- NPI
- 1497511554
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 1904 Richland Ave # B-112
Ceres, CA 95307-4562 - Phone
- (209) 525-6146
- Fax
- (209) 558-4319
- NPI assigned
- Feb 26, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Yes |
Addresses
Primary practice location
1904 Richland Ave # B-112
Ceres, CA 95307-4562
Mailing address
1904 Richland Ave # B-112
Ceres, CA 95307-4562
Phone (209) 525-6146
Other providers in Ceres, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.