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

MS. Grace Harumi Nakamura, PA

Individual provider Physician Assistant · NPI 1639793110

MS. Grace Harumi Nakamura, PA is a Physician Assistant in Fountain Valley, California. Qualified in 2021, 5 years ago. Practices with Leonard H Kim MD Medical Corp, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2020
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

17271 Brookhurst St
Fountain Valley, CA 92708-3701
Phone: (714) 531-2966
Fax: (714) 531-3495
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 60016 (CA)

Record details

NPI number1639793110
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedJune 1, 2020
Last updated in NPPESJanuary 22, 2026
Certification dateJanuary 22, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Leonard H Kim Md Medical Corp — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Fountain Valley