Organization Active NPI

Grace Orthopedic Specialists

  • Durable Medical Equipment & Medical Supplies
  • San Diego, CA
National Provider Identifier
1922578335
Registry record updated Nov 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
GRACE ORTHOPEDIC SPECIALISTS
Practice address
7905 Silverton Ave Ste 108
San Diego, CA 92126-6346
Phone
(619) 794-3145
NPI assigned
Nov 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2018

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

Authorized official

Name
Camille Thudium
Title
Owner
Phone
(619) 794-3145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

7905 Silverton Ave Ste 108
San Diego, CA 92126-6346

Mailing address

7905 Silverton Ave Ste 108
San Diego, CA 92126-6346
Phone (619) 794-3145

National Provider Directory

National Provider Directory

Locations

7905 Silverton Ave
Ste 108
San Diego, CA 92126
Phone (619) 794-3145

NPI Registry JSON

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543363200000",
    "number": "1922578335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7905 SILVERTON AVE STE 108",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921266346",
            "telephone_number": "619-794-3145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7905 SILVERTON AVE STE 108",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921266346",
            "telephone_number": "619-794-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE ORTHOPEDIC SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-28",
        "last_updated": "2018-11-28",
        "status": "A",
        "authorized_official_last_name": "THUDIUM",
        "authorized_official_first_name": "CAMILLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-794-3145"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; 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.