Pacific Pace, LLC

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

Legal business name

PACIFIC PACE, LLC

Practice address

50 Alessandro PL Ste A20
Pasadena, CA 91105-3149

Phone

(626) 314-1411

NPI assigned

Jul 26, 2018

Organization subpart

No

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

Authorized official

Name

Jennifer George

Title

Executive Director

Phone

(800) 851-0966

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Chen, DO, MPH

  • Geriatric Medicine (Family Medicine) Physician
  • Rosemead, CA
  • NPI 1184116766
  NPD (past)
• Tam Marisa Dinh, NP

  • Family Nurse Practitioner
  • Rosemead, CA
  • NPI 1417074915
  NPD (past)
• Edwin Escueta, MSN, FNP-C

  • Nurse Practitioner
  • Rosemead, CA
  • NPI 1851702435
  NPD (past)
• Lowell Ross Korman, M.D.

  • Hospitalist Physician
  • West Hollywood, CA
  • NPI 1912113309
  NPD (past)
• Kelsey Lawrence, OTR/L

  • Occupational Therapist
  • North Hollywood, CA
  • NPI 1659297067
  NPD (past)
• Colin Lawrence Robinson

  • Internal Medicine Physician
  • North Hollywood, CA
  • NPI 1720377880
  NPD (past)
• Lauren Kennerly

  • Adult Health Nurse Practitioner
  • Eagan, MN
  • NPI 1699376996
  NPD (past)

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691366400000",
    "number": "1194202697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 N BARRANCA AVE # 4051",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ALESSANDRO PL STE A20",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053149",
            "telephone_number": "626-314-1411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11633 Victory Blvd",
            "address_purpose": "LOCATION",
            "city": "North Hollywood",
            "state": "CA",
            "postal_code": "916063513",
            "country_code": "US",
            "telephone_number": "818-835-2880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8399 Garvey Ave",
            "address_purpose": "LOCATION",
            "city": "Rosemead",
            "state": "CA",
            "postal_code": "917702650",
            "country_code": "US",
            "telephone_number": "626-773-8436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PACIFIC PACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-26",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "800-851-0966"
    },
    "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": []
}

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• PACE Provider Organization in Pasadena, CA
• Providers in Pasadena, CA by specialty
• PACE Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.

Verify at the official NPI Registry.