Individual provider Active NPI

Grace Chou

  • Family Nurse Practitioner
  • Mountain View, CA
National Provider Identifier
1992111272
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95002448 Issued in CA
Practice address
2630 W El Camino Real
Mountain View, CA 94040-1117
Phone
(866) 389-2727
NPI assigned
Jul 7, 2014
Last updated
May 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95002448 CA Primary
Registered Nurse 163W00000X 95045167 CA

Addresses

Primary practice location

2630 W El Camino Real
Mountain View, CA 94040-1117

Mailing address

2630 W El Camino Real
Mountain View, CA 94040-1117

Other practice location 1

1720 El Camino Real Ste 105
Burlingame, CA 94010-3211
Phone (650) 779-4055

Other identifiers 1

IdentifierTypeStateIssuer
672923OtherNYRN

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150828000623 CA Practitioner - Nurse Practitioner 0547576027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Peninsula Sleep Center IncGroup PAC ID 2961441092, 4 clinicians

Practice addresses (Care Compare)

1720 El Camino Real
Suite 105
Burlingame, CA 94010-3211
Phone (650) 779-4079

Merit-based Incentive Payment System (MIPS)

Final score
87.13 of 100Reported as group
Quality
88.89
Promoting interoperability
100
Improvement activities
40
Cost
68.2

Merit-based Incentive Payment System (MIPS)

Final score
76.8 of 100Reported as group
Quality
65.04
Improvement activities
40
Cost
86.74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95045167CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Sleep Center Inc CurrentSince Mar 1, 2016 Accepting new patients
Sutter East Bay Medical Foundation Past Accepting new patients

Locations

1720 El Camino Real
Ste 105
Burlingame, CA 94010
Phone (650) 779-4055

825 Pollard Rd
Ste 100
Los Gatos, CA 95032
Phone (408) 866-3927

Interoperability endpoints

  • Direct secure messaging: gchou316727@hisp.ehr.sutterhealth.org

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1992111272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 W EL CAMINO REAL",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940401117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 W EL CAMINO REAL",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940401117",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1720 El Camino Real Ste 105",
            "address_purpose": "LOCATION",
            "city": "Burlingame",
            "state": "CA",
            "postal_code": "940103211",
            "country_code": "US",
            "telephone_number": "650-779-4055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOU",
        "first_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-07",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95002448",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95045167",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "672923",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

Verify at the official NPI Registry.