Active NPI
Grace Woo, DO
- Family Medicine Physician
- Santa Ana, CA
National Provider Identifier
1720519861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A16822
- Practice address
- 2 Macarthur PL
Santa Ana, CA 92707 - Phone
- (909) 979-3195
- NPI assigned
- Mar 21, 2017
- Reactivated
- Dec 30, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A16822 | CA | Primary |
Addresses
Primary practice location
2 Macarthur PL
Santa Ana, CA 92707
Mailing address
2 Macarthur PL
Santa Ana, CA 92707
Phone (909) 979-3195
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16822 | CA | MD | Clinical Social Worker |
| 20A16822 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Medical Group Inc | Past | Accepting new patients |
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641168000000",
"number": "1720519861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 MACARTHUR PL",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "92707",
"telephone_number": "909-979-3195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 MACARTHUR PL",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "92707",
"telephone_number": "909-979-3195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOO",
"first_name": "GRACE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-21",
"last_updated": "2022-01-03",
"certification_date": "2022-01-03",
"deactivation_date": "2021-12-15",
"reactivation_date": "2021-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A16822",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.