GRACE AN
NPI 1952984569
Psychiatry & Neurology - Child & Adolescent Psychiatry in Pasadena, CA
About Grace An NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRACE AN (NPI 1952984569) is an individual child & adolescent psychiatry provider in Pasadena, California, licensed in California (210995) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Rutgers New Jersey Medical School (2021).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Grace An is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Grace An reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New Hyde Park, NY 11040
- Reassigned Medicare billing, New York enrollment
- 9,353 clinicians in this Medicare group
Amityville, NY 11701
- Reassigned Medicare billing, New York enrollment
- 123 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.
PASADENA, CA 91107
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 An's NPI number?
The NPI number for Grace An is 1952984569. It was assigned to this individual provider in the NPPES registry on April 30, 2021.
Where is Grace An located?
Grace An practices at 3280 E Foothill Blvd, Pasadena, CA 91107. The listed phone number is (833) 574-2273.
What is Grace An's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.
Is Grace An enrolled in Medicare?
Yes. Grace An is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Grace An's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Grace An reassigns Medicare benefits to 2 organizations: North Shore - Lij Medical PC (New Hyde Park, NY) and The Long Island Home (Amityville, NY). Each 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 An'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 An was last updated on September 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 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.
# Grace An · NPI 1952984569
Child & Adolescent Psychiatry physician in Pasadena, California. Individual provider, active in the CMS NPPES registry since April 30, 2021.
## Identity
- **NPI:** 1952984569 (Entity type: Individual)
- **Enumerated:** April 30, 2021
- **Primary specialty:** Psychiatry & Neurology - Child & Adolescent Psychiatry · taxonomy 2084P0804X
- **State license:** 210995 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3280 E FOOTHILL BLVD, Pasadena, CA 91107-3148
- **Phone:** (833) 574-2273
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): North Shore - Lij Medical PC (NPI 1790043479, New Hyde Park, NY); The Long Island Home (NPI 1568459204, Amityville, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Rutgers New Jersey Medical School, class of 2021
## Record status
- **NPPES last updated:** September 28, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1952984569) · Data from the CMS NPPES public registry.