Grace J. Dacanay O.D., Inc.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

12589T Issued in CA

Legal business name

GRACE J. DACANAY O.D., INC.

Practice address

15909 Main St
La Puente, CA 91744-4720

Phone

(626) 961-0876

NPI assigned

Nov 24, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Grace Dacanay, O.D.

Title

Owner

Phone

(626) 961-0876

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416873600000",
    "number": "1972900637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15909 MAIN ST",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917444720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15909 MAIN ST",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917444720",
            "telephone_number": "626-961-0876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE J. DACANAY O.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-24",
        "last_updated": "2014-11-25",
        "status": "A",
        "authorized_official_last_name": "DACANAY",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-961-0876",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "12589T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Del Carmen Gonzalez, CPHW/MA
• Meliza De Jesus Gonzalez
• Tanya Gonzalez
• Veronica Alicia Gonzalez, ATC
• Stephen Robert Goodman, LCSW
• Nicki Nakessa Griswold
• Edi Gu, LAC.
• Jasmine Marie Guerrero
• Tatiana M Guerrero, P.A.
• Michelle U Guevara

• Health Service Clinic/Center in La Puente, CA
• Providers in La Puente, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; 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.