NPIMap

Organization Active NPI

Grace Hospitalist Group, Inc.

  • Hospitalist Physician
  • Wildomar, CA
National Provider Identifier
1639570971
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
A108497 Issued in CA
Legal business name
GRACE HOSPITALIST GROUP, INC.
Practice address
36485 Inland Valley Dr
Wildomar, CA 92595-9681
Phone
(951) 767-1392
Fax
(888) 479-9933
NPI assigned
Sep 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Authorized official

Name
Dr. Rami Elmufdi, M.D.NPI 1104052273
Title
President
Phone
(909) 731-0387

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
Hospitalist PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208M00000X A108497 CA Primary

Addresses

Primary practice location

36485 Inland Valley Dr
Wildomar, CA 92595-9681

Mailing address

36322 Bladen Ave
Murrieta, CA 92562-6501
Phone (909) 731-0387

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141215001217 CA Part B Supplier - Clinic/Group Practice 9537481908 Receives reassigned benefits from 9 practitioners
Practice locations: Murrieta, CA; Temecula, CA; Wildomar, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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": "1409875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687996800000",
    "number": "1639570971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36322 BLADEN AVE",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925626501",
            "telephone_number": "909-731-0387",
            "fax_number": "888-479-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36485 INLAND VALLEY DR",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925959681",
            "telephone_number": "951-767-1392",
            "fax_number": "888-479-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE HOSPITALIST GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-05",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A",
        "authorized_official_last_name": "ELMUFDI",
        "authorized_official_first_name": "RAMI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-731-0387",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A108497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wildomar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.