SEQUOIA PACE, LLC.
NPI 1063988384
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in Fresno, CA
- Organization
- Program of All-Inclusive Care for the El...
- CLIA Number: 05D2169632
- CLIA Cert. Type: Other - PROG ALL INCLUSIVE CARE
- CLIA Exp. Date: 07-23-2027
About SEQUOIA PACE, LLC.
This page provides the complete NPI Profile along with additional information for Sequoia Pace, Llc., a provider established in Fresno, California operating as a Program Of All-inclusive Care For The Elderly (pace) Provider Organization. The healthcare provider is registered in the NPI registry with number 1063988384 assigned on October 2018. The practitioner's primary taxonomy code is 251T00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Nicole Butler (Executive Director)
- NPI
- 1063988384 Verify this NPI
- Provider Name
- SEQUOIA PACE, LLC.
- Entity Type
- Organization
- Location Address
- 1649 VAN NESS AVE FRESNO, CA 93721
- Location Phone
- (650) 242-5908
- Mailing Address
- 1649 VAN NESS AVE FRESNO, CA 93721
- Mailing Phone
- (650) 242-5908
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-15-2018
- Last Update Date
- 03-25-2025
- Code Navigator
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
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
- Taxonomy Code
- 251T00000X
- Type
- Agencies
- Taxonomy Description
- A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2169632
- Facility Type
- Other - PROG ALL INCLUSIVE CARE
- Certificate Effective Date
- July 24, 2025
- Certificate Expiration Date
- July 23, 2027
- Laboratory Director
- DR. JASON M. DESADIER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Sequoia Pace, Llc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 8 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063988384, enumerated as an "organization" on October 15, 2018.
The provider is located at 1649 VAN NESS AVE FRESNO, CA 93721 and the phone number is (650) 242-5908.
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X.
