CHAPCARE LAKE ELIZABETH
NPI 1063748242
Clinic/Center - Federally Qualified Health Center (FQHC) in Pasadena, CA

Active since October 23, 2009
1595 N LAKE AVE, PASADENA, CA 91104(626) 993-1262(626) 486-9656 Get Directions Write a Review

NPPES record last updated: June 19, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 19, 2019, Nov 13, 2015 (2 updates tracked since 2015).

  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)

About CHAPCARE LAKE ELIZABETH

This page provides the complete NPI Profile along with additional information for Chapcare Lake Elizabeth, a primary care provider established in Pasadena, California operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1063748242 assigned on October 2009. The practitioner's primary taxonomy code is 261QF0400X with license number 550001311 (CA). The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Chapcare Lake Elizabeth. The authorized official of this NPI record is Mrs. Marcella Chavez (Bom)

NPI
1063748242 Verify this NPI
Provider Legal Name
COMMUNITY HEALTH ALLIANCE OF PASADENA
Other Organization Name
CHAPCARE LAKE ELIZABETH
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1595 N LAKE AVE PASADENA, CA 91104
Location Phone
(626) 993-1262
Location Fax
(626) 486-9656
Mailing Address
455 W MONTANA ST PASADENA, CA 91103
Mailing Phone
(626) 993-1212
Mailing Fax
(626) 993-1288
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-23-2009
Last Update Date
06-19-2019
Code Navigator

A primary care provider (PCP) like Chapcare Lake Elizabeth sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities
License No.
550001311
License State
CA

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. MARCELLA CHAVEZ

Authorized Official Title
BOM
Authorized Official Phone
(626) 993-1238

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063748242, enumerated as an "organization" on October 23, 2009.

The provider is located at 1595 N LAKE AVE PASADENA, CA 91104 and the phone number is (626) 993-1262.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).