GRACE MEDICAL SPA
NPI 1689357030
Internal Medicine in Riverside, CA
About Grace Medical Spa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRACE MEDICAL SPA (NPI 1689357030) is a healthcare organization registered as an internal medicine in Riverside, California and active in the NPI registry since August 2023. The organization holds a CLIA Waiver certificate valid through February 1, 2028 and lists Phillip Alhir, Coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
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 Medical Spa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Grace Medical Spa, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
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 05D2298512
Grace Medical And Wellness Clinic · Riverside, CAFrequently 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 Medical And Wellness Clinic's NPI number?
The NPI number for Grace Medical And Wellness Clinic is 1689357030. It was assigned to this organization in the NPPES registry on August 11, 2023. The provider is doing business as Grace Medical Spa.
Where is Grace Medical And Wellness Clinic located?
Grace Medical And Wellness Clinic is located at 6900 Brockton Ave Ste 200, Riverside, CA 92506. The listed phone number is (909) 664-4634.
What is Grace Medical And Wellness Clinic's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Grace Medical And Wellness Clinic enrolled in Medicare?
Yes. Grace Medical And Wellness Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Grace Medical And Wellness Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Grace Medical And Wellness Clinic. 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. The largest specialties are Nurse Practitioner (4) and Internal Medicine (3). Of these, 1 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Grace Medical And Wellness Clinic hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2298512) is associated with this NPI, valid through February 1, 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 Medical And Wellness Clinic was last updated on December 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Grace Medical Spa · NPI 1689357030
Internal Medicine organization in Riverside, California. Organization record, active in the CMS NPPES registry since August 11, 2023.
## Identity
- **NPI:** 1689357030 (Entity type: Organization)
- **Enumerated:** August 11, 2023
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Legal business name:** Grace Medical And Wellness Clinic
- **Organization subpart:** No
- **Authorized official:** Phillip Alhir, COO
## Practice location
- **Address:** 6900 BROCKTON AVE STE 200, Riverside, CA 92506-3818
- **Phone:** (909) 664-4634
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Internal Medicine (3); 1 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 8, 2023
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1689357030) · Data from the CMS NPPES public registry.