Individual provider Active NPI

Grace Chia Kuo

  • Marriage & Family Therapist
  • Glendora, CA
National Provider Identifier
1669972964
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
101249 Issued in CA
Practice address
255 S Glendora Ave Unit 1136
Glendora, CA 91740-7158
Phone
(818) 583-7179
NPI assigned
Feb 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 101249 CA Primary

Addresses

Primary practice location

255 S Glendora Ave Unit 1136
Glendora, CA 91740-7158

Mailing address

255 S Glendora Ave Unit 1136
Glendora, CA 91740-7158

Other practice location 1

913 E Walnut St
Pasadena, CA 91106-1720
Phone (818) 583-7179

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Andrea Davis, PH.D., Clinical Psychology, Inc. Marriage & Family Therapist Current Accepting new patients

Locations

913 E Walnut St
Pasadena, CA 91106
Phone (626) 225-2510

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1518566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1669972964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 S GLENDORA AVE UNIT 1136",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917407158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 S GLENDORA AVE UNIT 1136",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917407158",
            "telephone_number": "818-583-7179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "913 E Walnut St",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911061720",
            "country_code": "US",
            "telephone_number": "818-583-7179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUO",
        "first_name": "GRACE",
        "middle_name": "CHIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-14",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "101249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.