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LISA SARAH GRACE GNP
NPI 1841589504
Nurse Practitioner - Gerontology in Los Angeles, CA

Active since April 04, 2011PECOS Enrolled
11301 WILSHIRE BLVD, LOS ANGELES, CA 90073(310) 478-3711 Get Directions Write a Review

NPPES record last updated: April 4, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lisa Sarah Grace Gnp NPPES

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

LISA SARAH GRACE GNP (NPI 1841589504) is an individual gerontology provider in Los Angeles, California, licensed in California (19419) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841589504
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameLISA SARAH GRACECredential: GNP
Location Address11301 WILSHIRE BLVDLos Angeles, CA 90073-1003
Mailing Address11301 Wilshire BlvdLos Angeles, CA 90073-1003
Phone(310) 478-3711
Sole ProprietorNo
Enumeration DateApril 4, 2011
✔ NPI 1841589504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in CA · 19419
Also ListedRegistered NurseTaxonomy 163W00000X · License 534610 (CA)
11301 WILSHIRE BLVD, Los Angeles, CA 90073
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Sarah Grace Gnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90073 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JOANNA ZUHAIL CENTENO I
Licensed Vocational Nurse
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073
Los Angeles County (310) 478-3711
MS. APRIL S. BULLOCK MSW,ACSW
Social Worker
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073
Los Angeles County (310) 268-3000
NICOLE CHAN LISW
Social Worker
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073
Los Angeles County (310) 487-6026
DANIEL SMEE SOCIAL WORK
Social Worker (Clinical)
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073
Los Angeles County (310) 478-3711
AMANDA SALVESTRINI MS, RD
Dietitian, Registered
11301 WILSHIRE BLVD, BUILDING 213. 3RD FLOOR. ROOM 317.
LOS ANGELES, CA 90073
Los Angeles County (310) 478-3711
RACHEL DAJANI MD
Internal Medicine
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073
Los Angeles County (310) 478-3711
HARRISON BODRIE LCSW
Social Worker (Clinical)
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073
Los Angeles County (310) 987-8310
MR. ROBERTO CARMONA-VERGARA ASW
Social Worker
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073
Los Angeles County (310) 478-3711

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 Lisa Grace's NPI number?

The NPI number for Lisa Grace is 1841589504. It was assigned to this individual provider in the NPPES registry on April 4, 2011.

Where is Lisa Grace located?

Lisa Grace practices at 11301 Wilshire Blvd, Los Angeles, CA 90073. The listed phone number is (310) 478-3711.

What is Lisa Grace's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Lisa Grace enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Lisa Grace was last updated on April 4, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.