Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Our Lady of Grace Medical Clinic PC

Organization Family Medicine Physician · NPI 1356474647

Our Lady of Grace Medical Clinic PC is a Family Medicine Physician in Northglenn, Colorado. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

992 W 104th Ave
Northglenn, CO 80234-3801
Phone: (303) 531-5181
Fax: (303) 531-5185
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1356474647
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carlos Vera — Ceo · (303) 531-5181
NPI enumeratedMarch 14, 2007
Last updated in NPPESMarch 4, 2008
Mailing addressPo Box 350968, Westminster, CO 80035-0968

Other providers in Northglenn