Organization Active NPI

Community Health Alliance of Pasadena

Doing business as ChapCare-Fair Oaks

  • Federally Qualified Health Center (FQHC)
  • Pasadena, CA
National Provider Identifier
1871689315
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
960001053 Issued in CA
Legal business name
COMMUNITY HEALTH ALLIANCE OF PASADENA
Doing business as
ChapCare-Fair Oaks
Practice address
1855 N Fair Oaks Ave
Pasadena, CA 91103-1620
Phone
(626) 398-6300
Fax
(626) 398-5948
NPI assigned
Oct 4, 2006
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 960001053 CA Primary

Addresses

Primary practice location

1855 N Fair Oaks Ave
Pasadena, CA 91103-1620

Mailing address

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

Other names 1

  • ChapCare-Fair Oaks 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": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447286400000",
    "number": "1871689315",
    "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": "1855 N FAIR OAKS AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911031620",
            "telephone_number": "626-398-6300",
            "fax_number": "626-398-5948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH ALLIANCE OF PASADENA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY HEALTH ALLIANCE OF PASADENA",
        "enumeration_date": "2006-10-04",
        "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": "960001053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ChapCare-Fair Oaks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasadena, 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.