Community Health Alliance of Pasadena

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

License

550001311 Issued in CA

Legal business name

COMMUNITY HEALTH ALLIANCE OF PASADENA

Doing business as

ChapCare Lake Elizabeth
ChapCare-Lake

Practice address

1595 N Lake Ave
Pasadena, CA 91104-2307

Phone

(626) 993-1262

Fax

(626) 486-9656

NPI assigned

Oct 23, 2009

Last updated

Jun 19, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

COMMUNITY HEALTH ALLIANCE OF PASADENAAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Marcella Chavez

Title

Bom

Phone

(626) 993-1238

Specialties & licenses 1

Addresses

Other names 2

• ChapCare Lake Elizabeth Doing business as
• ChapCare-Lake Doing business as

Part of

Community Health Allian

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1256256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560902400000",
    "number": "1063748242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 W MONTANA ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911031327",
            "telephone_number": "626-993-1212",
            "fax_number": "626-993-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 N LAKE AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911042307",
            "telephone_number": "626-993-1262",
            "fax_number": "626-486-9656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH ALLIANCE OF PASADENA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY HEALTH ALLIANCE OF PASADENA",
        "enumeration_date": "2009-10-23",
        "last_updated": "2019-06-19",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "MARCELLA",
        "authorized_official_title_or_position": "BOM",
        "authorized_official_telephone_number": "626-993-1238",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CA",
            "license": "550001311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ChapCare Lake Elizabeth",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ChapCare Lake Elizabeth",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ChapCare-Lake",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Federally Qualified Health Center (FQHC) in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Federally Qualified Health Center (FQHC) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.