GRACE KWON CORPORATION (NPI# 1255898706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255898706 |
Entity Type | Organization |
Organization Name | GRACE KWON CORPORATION |
Other Organization Name | GRACE KWON CORPORATION |
Practice Address |
1950 E 17th St Ste 150 Santa Ana CA 92705-6852 |
Mailing Address |
17452 Irvine Blvd Ste 213 Tustin CA 92780-3031 |
Practice Telephone | 7143716977 |
Mailing Telephone | 6573462080 |
Enumeration Date | 2019-02-20 |
Last Update Date | 2019-05-09 |
Authorized Official Name | LUISA DAVIS (BILLING) |
Authorized Official Telephone | 7149972674 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers | ||
N | 164X00000X | Licensed Vocational Nurse | Nursing Service Providers | ||
Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Grace Kwon Corporation | Former Legal Business Name - Organization |
Street Address |
1950 E 17TH ST STE 150 |
City | SANTA ANA |
State | CA |
Zip Code | 92705-6852 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730221698 | Michael Stone | Family Medicine | 1950 E 17th St Ste 150, Santa Ana, CA 92705-6852 | 2007-02-13 |
1265083943 | Tamika Carroll | Counselor | 1950 E 17th St Ste 150, Santa Ana, CA 92705-6852 | 2019-09-24 |
1144877150 | Danielle R Denio | Counselor | 1950 E 17th St Ste 150, Santa Ana, CA 92705-6852 | 2019-08-23 |
1801442553 | Shelby Rascon | Counselor | 1950 E 17th St Ste 150, Santa Ana, CA 92705-6852 | 2019-08-16 |
1164078994 | Lauren Petrovic | Counselor | 1950 E 17th St Ste 150, Santa Ana, CA 92705-6852 | 2019-08-16 |
1740835917 | Mary C Graves | Counselor | 1950 E 17th St Ste 150, Santa Ana, CA 92705-6852 | 2019-08-05 |
1609436757 | Thomas Michael Greenwood | Counselor | 1950 E 17th St Ste 150, Santa Ana, CA 92705-6852 | 2019-06-19 |
1780244400 | Dane R. Jones | Counselor | 1950 E 17th St Ste 150, Santa Ana, CA 92705-6852 | 2019-06-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952919763 | John G. Alevizos, D.o., A Professional Medical Corporation | Preventive Medicine | 1530 East Edinger Avenue, Suite 1, Santa Ana, CA 92705 | 2020-07-17 |
1477186625 | Joyce Altman Interpreters, Inc. | Interpreter | 1971 East 4th Street, Ste 206, Santa Ana, CA 92705 | 2020-02-17 |
1588214688 | Cindy Mejia | Behavior Technician | 505 N. Tustin Ave., #152, Santa Ana, CA 92705 | 2019-09-19 |
1588210504 | Jennifer Ang Lim-quevedo | Nurse Practitioner | 18362 Whitney Dr, Santa Ana, CA 92705 | 2019-08-15 |
1962056820 | Melinda Acosta Black | Social Worker | 1526 Brookhollow Drive, Santa Ana, CA 92705 | 2019-07-30 |
1972069631 | Amy Marie Elit | Nurse Practitioner | 1751 E Harry Ave, Santa Ana, CA 92705 | 2019-02-18 |
1386118180 | Unified Behavioral Health, LLC | Substance Abuse Rehabilitation Facility | 1218 W Santa Ana Blvd, Santa Ana, CA 92705 | 2019-01-15 |
1952884736 | Javier Perales | Social Worker | 1652 Windsor Ln, Santa Ana, CA 92705 | 2018-09-08 |
1073009700 | Eva E Kuncewicki | Marriage & Family Therapist | 1001 S Grand Ave # B, Santa Ana, CA 92705 | 2018-07-05 |
1487149886 | Nimbus Medtransport Inc. | Non-emergency Medical Transport (VAN) | 2112 E 4th St Ste 235, Santa Ana, CA 92705 | 2018-06-27 |
Find all providers in zip 92705 |
Taxonomy Code | 2084A0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Addiction Medicine |
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477624211 | Sunil Gulaya | Psychiatry & Neurology | 1654 E 4th St, Suite # A, Santa Ana, CA 92701-8300 | 2006-11-13 |
1700821709 | Mark S Wagner | Psychiatry & Neurology | 515 Cabrillo Park Dr, Suite 120, Santa Ana, CA 92701-5016 | 2006-06-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992319560 | Blossoming Wellbeing Telepsychiatry | Psychiatry & Neurology | 5455 8th St Unit 81, Carpinteria, CA 93013-2433 | 2020-09-01 |
1962028936 | Sal Psychiatry Services | Psychiatry & Neurology | 13132 Studebaker Rd Ste 7, Norwalk, CA 90650-2562 | 2020-06-24 |
1932768280 | Sprenger Behavioral Medicine, Inc | Psychiatry & Neurology | 7601 Hospital Drive Suite 202, Suite 202, Sacramento, CA 95823 | 2019-06-11 |
1609431014 | Vaya Addiction Services | Psychiatry & Neurology | 945 University Ave Ste 101, Sacramento, CA 95825-6712 | 2019-05-01 |
1174081327 | Bacchus, Moghaddam, Musngi, Shwayder Medical Corp. | Psychiatry & Neurology | 6801 Park Ter # 530b, Los Angeles, CA 90045-1543 | 2019-03-06 |
1104330570 | Integrated Psychiatry, Inc. | Psychiatry & Neurology | 25000 Avenue Stanford Ste 173, Valencia, CA 91355-4596 | 2017-11-21 |
1740689694 | Mind & Body Treatment and Research Institute, PC | Psychiatry & Neurology | 5700 Division St, 200, Riverside, CA 92506-3257 | 2014-08-16 |
1619311206 | Margaret Barnett Yates | Psychiatry & Neurology | 13847 W Sunset Blvd, Pacific Palisades, CA 90272-4023 | 2013-04-25 |
1750645743 | Stefani Lafrenierre | Psychiatry & Neurology | 215 S Hickory St Ste 114, Escondido, CA 92025-4360 | 2012-06-25 |
1083977201 | Archangel De Leon | Psychiatry & Neurology | 7466 Sun Castle Ln, Sacramento, CA 95823-6734 | 2012-06-21 |
Find all providers with the same taxonomy |
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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.