Grace Dermatology
NPI 1467231811 · Medical Specialty Clinic/Center · Los Alamitos, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Grace Dermatology is a Medical Specialty Clinic/Center organization in Los Alamitos, CA (NPI 1467231811).
Provider details
- NPI number
- 1467231811
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lina Kennedy, Ceo(310) 430-8442
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-09-25
- Last updated
- 2023-09-25
- Certified
- 2023-09-25
Frequently asked questions
- What is Grace Dermatology's NPI number?
- Grace Dermatology's National Provider Identifier (NPI) is 1467231811, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grace Dermatology?
- Grace Dermatology is classified in the NPPES registry as Medical Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Grace Dermatology located?
- Grace Dermatology's practice location on file with NPPES is 5122 Katella Ave, Los Alamitos, CA 90720-2826.
- What is Grace Dermatology's phone number?
- The practice phone number listed in the NPPES registry for Grace Dermatology is (562) 340-5566.
- Does Grace Dermatology accept Medicare?
- Grace Dermatology is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Grace Dermatology?
- The authorized official listed on Grace Dermatology's NPPES record is Lina Kennedy, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grace Dermatology's NPI active?
- Yes — Grace Dermatology's NPI (1467231811) is active in the NPPES registry as of the last update on 2023-09-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.