GRACE FAMILY MEDICAL CLINIC
NPI 1215472048
Family Medicine in Cerritos, CA
- Organization
- Family Medicine
- CLIA Number: 05D2135216
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-15-2027
About GRACE FAMILY MEDICAL CLINIC
This page provides the complete NPI Profile along with additional information for Grace Family Medical Clinic, a primary care provider established in Cerritos, California operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1215472048 assigned on January 2017. The practitioner's primary taxonomy code is 207Q00000X with license number A97838 (CA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Grace Family Medical Clinic. The authorized official of this NPI record is John Ehum Md (President)
- NPI
- 1215472048 Verify this NPI
- Provider Legal Name
- EJW INC
- Other Organization Name
- GRACE FAMILY MEDICAL CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 18331 GRIDLEY RD SUITE A CERRITOS, CA 90703
- Location Phone
- (562) 865-3738
- Mailing Address
- 18331 GRIDLEY RD SUITE A CERRITOS, CA 90703
- Mailing Phone
- (562) 865-3738
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-03-2017
- Last Update Date
- 01-03-2017
- Code Navigator
A primary care provider (PCP) like Grace Family Medical Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- A97838
- License State
- CA
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2135216
- Facility Type
- Physician Office
- Certificate Effective Date
- August 16, 2025
- Certificate Expiration Date
- August 15, 2027
- Laboratory Director
- JOHN EHUM
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Grace Family Medical Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
CERRITOS, CA 90703
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215472048, enumerated as an "organization" on January 03, 2017.
The provider is located at 18331 GRIDLEY RD SUITE A CERRITOS, CA 90703 and the phone number is (562) 865-3738.
Family Medicine with taxonomy code 207Q00000X.
