Organization Active NPI

Community Health Alliance of Pasadena

Doing business as ChapCare-Vacco

  • Federally Qualified Health Center (FQHC)
  • South El Monte, CA
National Provider Identifier
1578808200
Registry record updated Nov 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
550002384 Issued in CA
Legal business name
COMMUNITY HEALTH ALLIANCE OF PASADENA
Doing business as
ChapCare-Vacco
Practice address
10408 Vacco St
Suite a
South El Monte, CA 91733-3328
Phone
(626) 486-9640
Fax
(626) 486-9654
NPI assigned
Dec 6, 2012
Last updated
Nov 12, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
COMMUNITY HEALTH ALLIANCE OF PASADENAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 12, 2015

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

Authorized official

Name
Ms. Margaret Banda Martinez, MPH
Title
Chief Executive Officer
Phone
(626) 993-1227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 550002384 CA Primary

Addresses

Primary practice location

10408 Vacco St
Suite a
South El Monte, CA 91733-3328

Mailing address

455 W Montana St
Pasadena, CA 91103-1327
Phone (626) 993-1212

Other names 1

  • ChapCare-Vacco Doing business as

National Provider Directory

National Provider Directory
Part of
Community Health Allian

NPI Registry JSON

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447286400000",
    "number": "1578808200",
    "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": "10408 VACCO ST",
            "address_2": "SUITE A",
            "city": "SOUTH EL MONTE",
            "state": "CA",
            "postal_code": "917333328",
            "telephone_number": "626-486-9640",
            "fax_number": "626-486-9654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH ALLIANCE OF PASADENA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY HEALTH ALLIANCE OF PASADENA",
        "enumeration_date": "2012-12-06",
        "last_updated": "2015-11-12",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "BANDA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "626-993-1227",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CA",
            "license": "550002384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ChapCare-Vacco",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South El Monte, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; 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.