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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MOUNTAIN GRACE HOME FUSION LLC
NPI 1215836093
Family Medicine - Geriatric Medicine in Torrance, CA

Active since November 05, 2026
3868 W CARSON ST STE 110, TORRANCE, CA 90503(714) 726-2808 Get Directions Write a Review

NPPES record added: November 5, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mountain Grace Home Fusion Llc NPPES

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

MOUNTAIN GRACE HOME FUSION LLC (NPI 1215836093) is a healthcare organization registered as a geriatric medicine in Torrance, California and active in the NPI registry since November 2026. The organization lists Geta Miclaus, Cfo, as its authorized official.

NPPES Registry Identity

NPI1215836093
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameMOUNTAIN GRACE HOME FUSION LLC
Location Address3868 W CARSON ST STE 110Torrance, CA 90503-6706
Mailing Address3868 W Carson St Ste 110Torrance, CA 90503-6706
Phone(714) 726-2808
Organization SubpartNo
Authorized OfficialGeta MiclausCfo · (714) 726-2808
Enumeration DateNovember 5, 2026
NPPES CertifiedNovember 5, 2026
✔ NPI 1215836093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ 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.
Also ListedRegistered Nurse · Infusion TherapyTaxonomy 163WI0500X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X
Also ListedGeneral PracticeTaxonomy 208D00000X
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
Also ListedNurse Practitioner · Community HealthTaxonomy 363LC1500X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
3868 W CARSON ST STE 110, Torrance, CA 90503
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CONCIERGE HEALTH & WELLNESS MEDICAL
Internal Medicine
3868 W CARSON ST STE 110
TORRANCE, CA 90503
Los Angeles County (617) 359-6110
QUANTUM LABORATORY LLC
Clinical Medical Laboratory
3868 W CARSON ST STE 110
TORRANCE, CA 90503
Los Angeles County (562) 780-1898
QUANTUM DIAGNOSTICS CENTER LLC
Clinical Medical Laboratory
3868 W CARSON ST STE 110
TORRANCE, CA 90503
Los Angeles County (562) 780-1898

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 Mountain Grace Home Fusion LLC's NPI number?

The NPI number for Mountain Grace Home Fusion LLC is 1215836093. It was assigned to this organization in the NPPES registry on November 5, 2026.

Where is Mountain Grace Home Fusion LLC located?

Mountain Grace Home Fusion LLC is located at 3868 W Carson St Ste 110, Torrance, CA 90503. The listed phone number is (714) 726-2808.

What is Mountain Grace Home Fusion LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Mountain Grace Home Fusion LLC was last updated on November 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.