Grace Star Ryu, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95036897 Issued in CA

Practice address

63 Candlewood Way
Buena Park, CA 90621-1005

Phone

(310) 227-0653

NPI assigned

Sep 8, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Pacific Interventional Neurosciences

  • Neurological Surgery Physician
  • Redding, CA
  • NPI 1427735612
  Medicare reassignment

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

{
    "created_epoch": "1757289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1700766938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 CANDLEWOOD WAY",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906211005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 CANDLEWOOD WAY",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906211005",
            "telephone_number": "310-227-0653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYU",
        "first_name": "GRACE",
        "middle_name": "STAR",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-08",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95036897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• RSCR California, Inc.
• RSH MD, a Professional Corporation
• Christian Constantino Rubio, RN
• Carlos Francisco Ruiz, CADCII A058280920
• Rulemed Group LLC
• Saebom Herbs & Acupuncture Clinic
• Marliza Sagum
• Salamati & Zahed Medical Corp
• Joyce Christine Salas, PHARM.D.
• Mark Anthony Panganiban Salazar, PTA

• Family Nurse Practitioner in Buena Park, CA
• Providers in Buena Park, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.