Organization Active NPI

Graced Path Healthcare

  • Community/Behavioral Health Agency
  • Santa Clarita, CA
National Provider Identifier
1457248163
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GRACED PATH HEALTHCARE
Practice address
22837 Boxwood LN
Santa Clarita, CA 91390-4155
Phone
(562) 412-7857
NPI assigned
Jun 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Authorized official

Name
Chidinma OgbeideNPI 1083500920
Title
Ceo/President
Phone
(424) 675-0586

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

22837 Boxwood LN
Santa Clarita, CA 91390-4155

Mailing address

22837 Boxwood LN
Santa Clarita, CA 91390-4155
Phone (562) 412-7857

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260325003337 CA Part B Supplier - Clinic/Group Practice 2860977055 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Clarita, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1750723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750723200000",
    "number": "1457248163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22837 BOXWOOD LN",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913904155",
            "telephone_number": "562-412-7857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22837 BOXWOOD LN",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913904155",
            "telephone_number": "562-412-7857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACED PATH HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-24",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A",
        "authorized_official_last_name": "OGBEIDE",
        "authorized_official_first_name": "CHIDINMA",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "424-675-0586"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.