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GRACELIGHT COMMUNITY HEALTH
NPI 1013083666
Clinic/Center - Federally Qualified Health Center (FQHC) in Los Angeles, CA

Active since November 27, 2006CLIA Certified · 4 labs
150 N RENO ST, LOS ANGELES, CA 90026(213) 380-7298(213) 385-1123 Get Directions Write a Review

NPPES record last updated: June 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 27, 2024, Jan 26, 2021 (2 updates tracked since 2021).

About Gracelight Community Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRACELIGHT COMMUNITY HEALTH (NPI 1013083666), doing business as Queenscare Health Centers, is a healthcare organization registered as a federally qualified health center (fqhc) in Los Angeles, California and active in the NPI registry since November 2006. The organization holds 4 active CLIA laboratory certificates and lists Eloisa Perard, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1013083666
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameGRACELIGHT COMMUNITY HEALTH
Location Address150 N RENO STLos Angeles, CA 90026-4656
Mailing Address4816 E 3rd StLos Angeles, CA 90022-1602 · (323) 780-4510 · Fax (323) 981-1662
Phone(213) 380-7298
Fax(213) 385-1123
Organization SubpartNo
Authorized OfficialEloisa PerardPresident & Ceo · (323) 669-4321
Enumeration DateNovember 27, 2006
Last NPPES UpdateJune 27, 20242 updates tracked since enumeration
NPPES CertifiedJune 27, 2024
✔ NPI 1013083666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License✔ Licensed in CA · 960000219
150 N RENO ST, Los Angeles, CA 90026
Open in Google Maps ↗

Other Names 1

Former Legal Business NameQueenscare Health Centers

CLIA Laboratory Certificates CMS CLIA 4

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2344272

Gracelight Community Health - Mobile 2 1fdwe3fn8sdd09948 · Los Angeles, CA
Active · expires May 19, 2028
CLIA Number05D2344272
Laboratory TypeMobile Laboratory
Certificate Effective DateMay 20, 2026
Certificate Expiration DateMay 19, 2028
Laboratory DirectorGisella Olivares
Laboratory Phone(323) 780-4510
Laboratory LocationGracelight Community Health - Mobile 2 1fdwe3fn8sdd099484816 East 3rd Street, Mobile 2, Los Angeles, CA 90022
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2344137

Gracelight Community Health-Mobile 1 1fdwe3fn0sdd09703 · Los Angeles, CA
Active · expires May 17, 2028
CLIA Number05D2344137
Laboratory TypeMobile Laboratory
Certificate Effective DateMay 18, 2026
Certificate Expiration DateMay 17, 2028
Laboratory DirectorGisella Olivares
Laboratory Phone(323) 780-4510
Laboratory LocationGracelight Community Health-Mobile 1 1fdwe3fn0sdd097034816 East 3rd Street, Mobile 1, Los Angeles, CA 90022
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D0899572

Gracelight Community Health · Los Angeles, CA
Active · expires Apr 2, 2027
CLIA Number05D0899572
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateApril 3, 2025
Certificate Expiration DateApril 2, 2027
Laboratory DirectorDeanah A. Jibril
Laboratory Phone(213) 380-7298
Laboratory LocationGracelight Community Health150 N Reno St, Los Angeles, CA 90026
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D1097714

Gracelight Community Health · Los Angeles, CA
Active · expires Mar 31, 2027
CLIA Number05D1097714
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateApril 1, 2025
Certificate Expiration DateMarch 31, 2027
Laboratory DirectorGisella Olivares
Laboratory Phone(323) 780-4510
Laboratory LocationGracelight Community Health4816 East 3rd St, Los Angeles, CA 90022
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXANDER DAVIS
Specialist
150 N RENO ST
LOS ANGELES, CA 90026
Los Angeles County (213) 380-7298
QUEENS CARE FAMILY CLINIC
Clinic/Center (Community Health)
150 N RENO ST
LOS ANGELES, CA 90026
Los Angeles County (213) 380-7298
DR. KHANH NGUYEN M.D.
Family Medicine
150 N RENO ST
LOS ANGELES, CA 90026
Los Angeles County (213) 380-7298
MRS. GRETA DENISE GREEN CNP
Nurse Practitioner (Family)
150 N RENO ST
LOS ANGELES, CA 90026
Los Angeles County (213) 380-7298
XIAO HUA CHEN
Nurse Practitioner (Family)
150 N RENO ST
LOS ANGELES, CA 90026
Los Angeles County (213) 380-7298
DR. MOE AUNG M.D.
Internal Medicine
150 N RENO ST
LOS ANGELES, CA 90026
Los Angeles County (213) 380-7298
KATHERIN GARCIA
Case Manager/Care Coordinator
150 N RENO ST
LOS ANGELES, CA 90026
Los Angeles County (213) 380-7298
YONG BUM CHUN M.D.
Pediatrics
150 N RENO ST
LOS ANGELES, CA 90026
Los Angeles County (213) 380-7298

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gracelight Community Health's NPI number?

The NPI number for Gracelight Community Health is 1013083666. It was assigned to this organization in the NPPES registry on November 27, 2006. The provider was formerly known as Queenscare Health Centers.

Where is Gracelight Community Health located?

Gracelight Community Health is located at 150 N Reno St, Los Angeles, CA 90026. The listed phone number is (213) 380-7298.

What is Gracelight Community Health's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Gracelight Community Health hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Gracelight Community Health was last updated on June 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.