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GRACE MOBILE MEDICAL GROUP
NPI 1447046883
Nurse Practitioner - Primary Care in Cerritos, CA

Active since April 15, 2025
17315 STUDEBAKER RD STE 204, CERRITOS, CA 90703(310) 295-6492(310) 295-6542 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Grace Mobile Medical Group NPPES

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

GRACE MOBILE MEDICAL GROUP (NPI 1447046883) is a healthcare organization registered as a primary care in Cerritos, California and active in the NPI registry since April 2025. The organization lists Roland T Flores, Ceo, as its authorized official.

NPPES Registry Identity

NPI1447046883
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameGRACE MOBILE MEDICAL GROUP
Location Address17315 STUDEBAKER RD STE 204Cerritos, CA 90703-2508
Mailing Address17315 Studebaker Rd Ste 204Cerritos, CA 90703-2508 · (310) 295-6492 · Fax (310) 295-6542
Phone(310) 295-6492
Fax(310) 295-6542
Organization SubpartNo
Authorized OfficialRoland T FloresCeo · (310) 245-1414
Enumeration DateApril 15, 2025
NPPES CertifiedApril 15, 2025
✔ NPI 1447046883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
17315 STUDEBAKER RD STE 204, Cerritos, CA 90703
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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

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 Mobile Medical Group's NPI number?

The NPI number for Grace Mobile Medical Group is 1447046883. It was assigned to this organization in the NPPES registry on April 15, 2025.

Where is Grace Mobile Medical Group located?

Grace Mobile Medical Group is located at 17315 Studebaker Rd Ste 204, Cerritos, CA 90703. The listed phone number is (310) 295-6492.

What is Grace Mobile Medical Group's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Grace Mobile Medical Group was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.