Active NPI
Sequoia Pace, LLC.
- PACE Provider Organization
- Fresno, CA
National Provider Identifier
1063988384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- PACE Provider Organization
- Legal business name
- SEQUOIA PACE, LLC.
- Practice address
- 1649 Van Ness Ave
Fresno, CA 93721-1128 - Phone
- (650) 242-5908
- NPI assigned
- Oct 15, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicole Butler
- Title
- Executive Director
- Phone
- (559) 777-6722
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| PACE Provider Organization | 251T00000X | Primary |
Addresses
Primary practice location
1649 Van Ness Ave
Fresno, CA 93721-1128
Mailing address
1649 Van Ness Ave
Fresno, CA 93721-1128
Phone (650) 242-5908
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2169632 | Sequoia Pace, LLC | Certificate of waiver | Jul 23, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742860800000",
"number": "1063988384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1649 VAN NESS AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937211128",
"telephone_number": "650-242-5908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1649 VAN NESS AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937211128",
"telephone_number": "650-242-5908"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEQUOIA PACE, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-15",
"last_updated": "2025-03-25",
"certification_date": "2025-03-25",
"status": "A",
"authorized_official_last_name": "BUTLER",
"authorized_official_first_name": "NICOLE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "559-777-6722"
},
"taxonomies": [
{
"code": "251T00000X",
"taxonomy_group": "",
"desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
- Sequoia Community Health Foundation, Inc.
- Sequoia Community Health Foundation, Inc.
- Sequoia Community Health Foundation, Inc.
- Sequoia Community Health Foundation,Inc.
- Sequoia Grove Assisted Living Inc
- Sequoia Psychotherapy Center, Inc
- Sequoia Recovery Center
- Sequoia Sleep Diagnostics Inc.
- Kylee Serafin
- Kynoosh Seraji, MS, CGC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.