GRACE CHA (NPI# 1346764370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346764370 |
| Entity Type | Individual |
| Full Name | GRACE CHA |
| Credential | NP |
| Practice Address |
199 W Portal Ave San Francisco CA 94127-1305 |
| Mailing Address |
3400 Data Dr Attn: Credentialing/payer Enrollment Rancho Cordova CA 95670-7956 |
| Practice Telephone | 4158218798 |
| Practice Fax Number | 4152426244 |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2019-07-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95006971 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083068522 | Grace Cha | Family Medicine | 61 Pomeroy Ave Unit 1, Meriden, CT 06450-7483 | 2016-04-21 |
| Street Address |
199 W PORTAL AVE |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94127-1305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619290483 | Brandy M Blau | Nurse Practitioner | 199 W Portal Ave, San Francisco, CA 94127-1305 | 2010-03-09 |
| 1871007120 | Christine M Trewhitt | Registered Nurse | 199 W Portal Ave, San Francisco, CA 94127-1305 | 2017-11-23 |
| 1356713028 | Julian A Santiago | Physician Assistant | 199 W Portal Ave, San Francisco, CA 94127-1305 | 2015-10-21 |
| 1306159918 | Matthew Joel Brooks | Nurse Practitioner | 199 W Portal Ave, San Francisco, CA 94127-1305 | 2010-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205311834 | Timothy Tang | Dentist | 1450 Monterey Boulevard, San Francisco, CA 94127 | 2018-09-28 |
| 1851897458 | Jason Jihwan Lim | Dentist | 26 W Portal Ave Ste 4, San Francisco, CA 94127 | 2018-04-03 |
| 1871003152 | Jacob Lee | Technician, Other | 12 Keystone Way, San Francisco, CA 94127 | 2017-10-02 |
| 1972032514 | Brian Ong | Pharmacist | 701 Portola Drive, San Francisco, CA 94127 | 2017-06-07 |
| 1316357411 | Roger Stephen Ellis | Emergency Medicine | 301 Edgehill Way, San Francisco, CA 94127 | 2014-04-29 |
| 1801227145 | Terrence Lee | Dentist | 2335 Ocean Ave, San Francisco, CA 94127 | 2013-12-12 |
| 1801222021 | Hayley Rose Winn | Behavioral Analyst | 2265 Ocean Ave., San Francisco, CA 94127 | 2013-09-19 |
| 1487959771 | Leah C Wood | Counselor | 36a Monterey Blvd, San Francisco, CA 94127 | 2011-01-18 |
| 1720288871 | Gloria M. Gold | Social Worker | 146 Granville Way, San Francisco, CA 94127 | 2007-07-18 |
| 1174749451 | Linda L Lee | Dentist | 2411 Ocean Ave, Suite 203, San Francisco, CA 94127 | 2007-04-17 |
| Find all providers in zip 94127 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801402524 | Olga Maria Fernandez | Nurse Practitioner | 2710 Cabrillo St Apt 204, San Francisco, CA 94121-3564 | 2020-09-17 |
| 1912518572 | Tony Terrel Curtis | Nurse Practitioner | 357 19th Ave, San Francisco, CA 94121-2304 | 2020-08-16 |
| 1083230353 | Haley Rose Horner | Nurse Practitioner | 14 Mint Plz Ste 110, San Francisco, CA 94103-1884 | 2020-06-22 |
| 1619593365 | Neelam Patel | Nurse Practitioner | 49 Stevenson St, San Francisco, CA 94105-2909 | 2020-06-18 |
| 1275162471 | Janette Marie Trapp | Nurse Practitioner | 1010 16th St Apt 253, San Francisco, CA 94107-3720 | 2020-04-08 |
| 1215566922 | Sarah Fihn | Nurse Practitioner | 863 Waller St Apt 9, San Francisco, CA 94117-3163 | 2020-04-04 |
| 1518597350 | Bryan Alan Garcia | Nurse Practitioner | 547 5th Ave, San Francisco, CA 94118-3928 | 2020-01-21 |
| 1154960334 | Alan K Tam | Nurse Practitioner | 950 Stockton St Ste 202, San Francisco, CA 94108-1619 | 2020-01-05 |
| 1033754858 | Stephanie D Calabrese | Nurse Practitioner | 1961 Sutter St Apt 3, San Francisco, CA 94115-3136 | 2019-11-15 |
| 1831748938 | Denisse Aurora Porter | Nurse Practitioner | 240 Shotwell St # 1323, San Francisco, CA 94110-1323 | 2019-09-11 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94127 |
Please comment or provide details below to improve the information on GRACE CHA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.