Grace Wiryawan, NP - Nurse Practitioner in Anaheim, CA

Grace Wiryawan, NP is a Nurse Practitioner - Family based in Anaheim, California. Grace Wiryawan is licensed to practice in California (license number 95019521) and her current practice location is 3030 W Ball Rd, Anaheim, California. She can be reached at her office (for appointments etc.) via phone at (626) 872-9844.

NPI number for Grace Wiryawan is 1003565664 and her current mailing address is 500 N Atlantic Blvd Apt 302, Alhambra, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003565664.

Contact Information

Grace Wiryawan, NP
3030 W Ball Rd,
Anaheim, CA 92804-3897
(626) 872-9844
Not Available



Provider's Profile

Full NameGrace Wiryawan
GenderFemale
SpecialityNurse Practitioner - Family
Location3030 W Ball Rd, Anaheim, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003565664
  • Provider Enumeration Date: 03/21/2022
  • Last Update Date: 03/21/2022

Medical Identifiers

Medical identifiers for Grace Wiryawan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003565664NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 95019521 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Grace Wiryawan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Grace Wiryawan, NP
500 N Atlantic Blvd Apt 302,
Alhambra, CA 91801-2230

Ph: (626) 872-9844
Grace Wiryawan, NP
3030 W Ball Rd,
Anaheim, CA 92804-3897

Ph: (626) 872-9844

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› Verified 6 days ago


Nurse Practitioner Nurses in Anaheim, CA

Cristian Cuevas, PMHNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 5475 E La Palma Ave, Anaheim, CA 92807
Phone: 714-485-0354    
Mr. William George Woods, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1211 W La Palma Ave Ste 207, Anaheim, CA 92801
Phone: 714-772-8282    Fax: 714-772-6493
Chinenye Umunnakwe, PMHNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 710 N Euclid St Ste 208, Anaheim, CA 92801
Phone: 310-738-7497    
Gayatri Subedi, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1771 W Romneya Dr. Ste C, Anaheim, CA 98201
Phone: 714-758-0403    
Jennifer Ann Java, PMHNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5475 E La Palma Ave, Anaheim, CA 92807
Phone: 714-485-0354    
Jine-lan Hsu, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807
Phone: 888-988-2800    

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