Grace Mobile Medical Group
NPI 1447046883ActiveOrganization· Nurse Practitioner, Primary Care· Cerritos, CA
Nurse Practitioner, Primary Care in Cerritos, California, registered in NPPES in April 2025. The authorized official on file is Roland T. Flores, RN, Ceo.
Overview
| NPI | 1447046883 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 15, 2025 |
| Last updated in NPPES | Apr 15, 2025 |
| Certified by provider | Apr 15, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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