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

Grace Genevieve Firestone

Individual provider Family Medicine Physician · NPI 1780203216

Grace Genevieve Firestone is a Family Practice in Santa Monica, California. Qualified in 2020, 6 years ago. Practices with The Regents of the University of California, a 1,414-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2020
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Practice location Address checks out

1131 Wilshire Blvd Ste 300
Santa Monica, CA 90401-2066
Phone: (310) 395-5588
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 455 Oconnor Dr Ste 250, San Jose, CA 95128-1644 — (408) 283-7767

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A183764 (CA)

Record details

NPI number1780203216
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 14, 2020
Last updated in NPPESAugust 16, 2023
Certification dateAugust 16, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice The Regents Of The University Of California — 1414 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Santa Monica