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GRACE GERIATRIC CARE INC
NPI 1023652914
Family Medicine - Geriatric Medicine in Garden Grove, CA

Active since November 04, 2019CLIA 05D2179879 · Waiver
8883 WESTMINSTER AVE, GARDEN GROVE, CA 92844(657) 208-2221(657) 400-9174 Get Directions Write a Review

NPPES record last updated: November 7, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Grace Geriatric Care Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRACE GERIATRIC CARE INC (NPI 1023652914) is a healthcare organization registered as a geriatric medicine in Garden Grove, California and active in the NPI registry since November 2019. The organization holds a CLIA Waiver certificate valid through March 2, 2028 and lists Peter Trung-thuy Le, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1023652914
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameGRACE GERIATRIC CARE INC
Location Address8883 WESTMINSTER AVEGarden Grove, CA 92844-2608
Mailing Address8883 Westminster AveGarden Grove, CA 92844-2608 · (657) 208-2221 · Fax (657) 400-9174
Phone(657) 208-2221
Fax(657) 400-9174
Organization SubpartNo
Authorized OfficialPeter Trung-thuy LeCo-owner · (949) 877-9194
Enumeration DateNovember 4, 2019
Last NPPES UpdateNovember 7, 2019
✔ NPI 1023652914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
8883 WESTMINSTER AVE, Garden Grove, CA 92844
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grace Geriatric Care Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Grace Geriatric Care Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Roger Tran, MD
Geriatric Medicine
NPI 1649234949
24221 CALLE DE LA LOUISA STE 400
Laguna Hills, CA 92653
(949) 588-8700
✔ PECOS✔ Accepts Medicare18 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2179879

Grace Geriatric Care, Inc · Garden Grove, CA
Active · expires Mar 2, 2028
CLIA Number05D2179879
Laboratory TypePhysician Office
Certificate Effective DateMarch 3, 2026
Certificate Expiration DateMarch 2, 2028
Laboratory DirectorRoger Nguyen-Tran
Laboratory Phone(657) 208-2221
Laboratory LocationGrace Geriatric Care, Inc8883 Westminster Avenue, Garden Grove, CA 92844
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grace Geriatric Care Inc's NPI number?

The NPI number for Grace Geriatric Care Inc is 1023652914. It was assigned to this organization in the NPPES registry on November 4, 2019.

Where is Grace Geriatric Care Inc located?

Grace Geriatric Care Inc is located at 8883 Westminster Ave, Garden Grove, CA 92844. The listed phone number is (657) 208-2221.

What is Grace Geriatric Care Inc's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Grace Geriatric Care Inc enrolled in Medicare?

Yes. Grace Geriatric Care Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Grace Geriatric Care Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Geriatric Medicine) reassigns their Medicare billing to Grace Geriatric Care Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Grace Geriatric Care Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2179879) is associated with this NPI, valid through March 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Grace Geriatric Care Inc was last updated on November 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.