GRACE S AHN
NPI 1295317816
Student in an Organized Health Care Education/Training Program in La Jolla, CA

Active since April 23, 2021PECOS Enrolled
9500 GILMAN DR, LA JOLLA, CA 92093(858) 534-0830 Get Directions Write a Review

NPPES record last updated: April 23, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Grace S Ahn NPPES

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

GRACE S AHN (NPI 1295317816) is an individual student in an organized health care education/training program in La Jolla, California and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of University Of California, San Diego School Of Medicine (2022).

NPPES Registry Identity

NPI1295317816
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameGRACE S AHN
Location Address9500 GILMAN DRLa Jolla, CA 92093-5004
Mailing Address9500 Gilman DrLa Jolla, CA 92093-5004
Sole ProprietorNo
Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 2022
Enumeration DateApril 23, 2021
NPPES CertifiedApril 23, 2021
✔ NPI 1295317816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
9500 GILMAN DR, La Jolla, CA 92093

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grace S Ahn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668930439
PECOS Enrollment IDI20260821002349
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Grace Ahn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
3705 MISSION BLVD
San Diego, CA 92109
  • Reassigned Medicare billing, California enrollment
  • 1,100 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 20

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

Radiology (Diagnostic Radiology)
9500 GILMAN DR
LA JOLLA, CA 92093
Nurse Practitioner (Adult Health)
9500 GILMAN DR
LA JOLLA, CA 92093
Radiology (Diagnostic Radiology)
9500 GILMAN DR
LA JOLLA, CA 92093
Internal Medicine
9500 GILMAN DR, MAIL CODE 9111-H
LA JOLLA, CA 92093
Nurse Practitioner (Adult Health)
9500 GILMAN DR, # 0039
LA JOLLA, CA 92093
Specialist/Technologist (Athletic Trainer)
9500 GILMAN DR, MC0529
LA JOLLA, CA 92093
Orthopaedic Surgery
9500 GILMAN DR
LA JOLLA, CA 92093
Student in an Organized Health Care Education/Training Program
9500 GILMAN DR
LA JOLLA, CA 92093

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 Ahn's NPI number?

The NPI number for Grace Ahn is 1295317816. It was assigned to this individual provider in the NPPES registry on April 23, 2021.

Where is Grace Ahn located?

Grace Ahn practices at 9500 Gilman Dr, La Jolla, CA 92093. The listed phone number is (858) 534-0830.

What is Grace Ahn's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Grace Ahn enrolled in Medicare?

Yes. Grace Ahn is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Grace Ahn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Grace Ahn reassigns Medicare benefits to Family Health Centers Of San Diego, Inc (San Diego, CA). The 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 Grace Ahn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Grace Ahn was last updated on April 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.