COMMUNITY HEALTH ALLIANCE OF PASADENA (NPI# 1063748242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063748242 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH ALLIANCE OF PASADENA |
| Other Organization Name | CHAPCARE LAKE ELIZABETH |
| Practice Address |
1595 N Lake Ave Pasadena CA 91104-2307 |
| Mailing Address |
455 W Montana St Pasadena CA 91103-1327 |
| Practice Telephone | 6269931262 |
| Practice Fax Number | 6264869656 |
| Mailing Telephone | 6269931212 |
| Mailing Fax Number | 6269931288 |
| Enumeration Date | 2009-10-23 |
| Last Update Date | 2019-06-19 |
| Authorized Official Name | MRS. MARCELLA CHAVEZ (BOM) |
| Authorized Official Telephone | 6269931238 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY HEALTH ALLIANCE OF PASADENA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
550001311 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| ChapCare Lake Elizabeth | Doing Business As Name - Organization |
| ChapCare-Lake | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477924520 | Community Health Alliance of Pasadena | Clinic/Center | 3703 Peck Rd, Suite A - C, El Monte, CA 91731-3543 | 2015-10-15 |
| 1447653787 | Community Health Alliance of Pasadena | Pharmacy | 1855 N Fair Oaks Ave Ste 100, Pasadena, CA 91103-1620 | 2014-10-01 |
| 1922429349 | Community Health Alliance of Pasadena | Clinic/Center | 10127 Garvey Ave, El Monte, CA 91733-2066 | 2014-01-02 |
| 1255991485 | Community Health Alliance of Pasadena | Pharmacy | 1855 N Fair Oaks Ave Ste 100, Pasadena, CA 91103-1620 | 2019-06-19 |
| 1063805463 | Community Health Alliance of Pasadena | Clinic/Center | 513 E Lime Ave, Suite 101, Monrovia, CA 91016-2982 | 2015-03-09 |
| 1366856098 | Community Health Alliance of Pasadena | Clinic/Center | 2055 Lincoln Ave, Pasadena, CA 91103-1324 | 2014-06-20 |
| 1578808200 | Community Health Alliance of Pasadena | Clinic/Center | 10408 Vacco St, Suite A, South El Monte, CA 91733-3328 | 2012-12-06 |
| 1407107667 | Community Health Alliance of Pasadena | Clinic/Center | 10408 Vacco St, Suite A, South El Monte, CA 91733-3328 | 2012-09-27 |
| 1487957288 | Community Health Alliance of Pasadena | Clinic/Center | 1855 N Fair Oaks Ave, Pasadena, CA 91103-1620 | 2010-12-16 |
| 1720395874 | Community Health Alliance of Pasadena | Clinic/Center | 3160 E Del Mar Blvd, Suite 100, Pasadena, CA 91107-4649 | 2010-09-10 |
| Street Address |
1595 N LAKE AVE |
| City | PASADENA |
| State | CA |
| Zip Code | 91104-2307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518328608 | Pamela Aimee Castro Camero | Family Medicine | 1595 N Lake Ave, Pasadena, CA 91104-2307 | 2016-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093284382 | Jack Lee Johnson II | Counselor | 1680 North Fair Oaks, Pasadena, CA 91104 | 2018-11-16 |
| 1699257055 | Aqueelah Russell | Lactation Consultant, Non-RN | 855 N. Catalina Ave, Pasadena, CA 91104 | 2018-09-02 |
| 1053893529 | Jordann Ashley Stewart | Case Manager/Care Coordinator | 691 East Washington Blvd, Pasadena, CA 91104 | 2018-08-31 |
| 1942789706 | Elmer Caballero | Case Manager/Care Coordinator | 691 E Washington Blvd, Pasadena, CA 91104 | 2018-08-12 |
| 1649759648 | Orlando Javier Sava Jr. | Case Manager/Care Coordinator | 1395 E. Orange Grove Blvd, Pasadena, CA 91104 | 2018-08-09 |
| 1669923611 | Grandview Foundation, Inc. | Substance Abuse Rehabilitation Facility | 225 Grandview Street, Pasadena, CA 91104 | 2016-10-14 |
| 1255734166 | Linhua Wang-kim | Massage Therapist | 1028 N. Lake Ave., Suite 108c, Pasadena, CA 91104 | 2014-10-06 |
| 1477893782 | Med Tec Diagnostic Inc. | Clinic/Center | 1310 N. Mar Vista Unit 3, Pasadena, CA 91104 | 2013-02-22 |
| 1750631321 | Gordon Sheldall | Marriage & Family Therapist | 1495 N Lake Avenue, Pasadena, CA 91104 | 2012-09-11 |
| 1699024521 | Sherry Lynn Wait | Marriage & Family Therapist | 1495 N. Lake Ave., Pasadena, CA 91104 | 2012-09-06 |
| Find all providers in zip 91104 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932104965 | Pasadena Health Center, Inc | Clinic/Center | 908 Southmore Ave, Ste 100, Pasadena, TX 77502-1134 | 2005-06-16 |
| 1366856098 | Community Health Alliance of Pasadena | Clinic/Center | 2055 Lincoln Ave, Pasadena, CA 91103-1324 | 2014-06-20 |
| 1720395874 | Community Health Alliance of Pasadena | Clinic/Center | 3160 E Del Mar Blvd, Suite 100, Pasadena, CA 91107-4649 | 2010-09-10 |
| 1871689315 | Community Health Alliance of Pasadena | Clinic/Center | 1855 N Fair Oaks Ave, Pasadena, CA 91103-1620 | 2006-10-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.