1. Home
  2. Directory
  3. California
  4. Fresno
  5. Program Of All Inclusive Care For The Elderly Pace Provider Organization
  6. NPI Profile

SEQUOIA PACE, LLC.
NPI 1063988384
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in Fresno, CA

Active since October 15, 2018CLIA Certified · 2 labs
1649 VAN NESS AVE, FRESNO, CA 93721(650) 242-5908 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 25, 2025, Aug 7, 2023, Jan 18, 2022 and 1 more (4 updates tracked since 2018).

About Sequoia Pace, Llc. NPPES

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

SEQUOIA PACE, LLC. (NPI 1063988384) is a healthcare organization registered as a program of all-inclusive care for the elderly (pace) provider organization in Fresno, California and active in the NPI registry since October 2018. The organization holds 2 active CLIA laboratory certificates and lists Nicole Butler, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1063988384
Entity TypeOrganization
Primary Taxonomy251T00000X
Legal Business NameSEQUOIA PACE, LLC.
Location Address1649 VAN NESS AVEFresno, CA 93721-1128
Mailing Address1649 Van Ness AveFresno, CA 93721-1128 · (650) 242-5908
Phone(650) 242-5908
Organization SubpartNo
Authorized OfficialNicole ButlerExecutive Director · (559) 777-6722
Enumeration DateOctober 15, 2018
Last NPPES UpdateMarch 25, 20254 updates tracked since enumeration
NPPES CertifiedMarch 25, 2025
✔ NPI 1063988384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProgram of All-Inclusive Care for the Elderly (PACE) Provider OrganizationAgencies
Taxonomy Code251T00000X
Definition
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.
1649 VAN NESS AVE, Fresno, CA 93721
Open in Google Maps ↗

CLIA Laboratory Certificates CMS CLIA 2

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 05D2169632

Sequoia Pace, LLC · Fresno, CA
Active · expires Jul 23, 2027
CLIA Number05D2169632
Laboratory TypeProg All Inclusive Care
Certificate Effective DateJuly 24, 2025
Certificate Expiration DateJuly 23, 2027
Laboratory DirectorDr. Jason M. Desadier
Laboratory Phone(559) 777-6722
Laboratory LocationSequoia Pace, LLC1649 Van Ness Ave, Fresno, CA 93721
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 05D2299674

Sequoia Pace, LLC · Fresno, CA
Active · expires Feb 22, 2028
CLIA Number05D2299674
Laboratory TypeAlternative Care Setting
Certificate Effective DateFebruary 23, 2026
Certificate Expiration DateFebruary 22, 2028
Laboratory DirectorJason M. Desadier
Laboratory Phone(559) 777-6722
Laboratory LocationSequoia Pace, LLC7110 N Fresno St, Ste 140, Fresno, CA 93720
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

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

REBECCA SIMON OT
Occupational Therapist
1649 VAN NESS AVE
FRESNO, CA 93721
Fresno County (559) 628-2568
NICKOLAS JAMES DICKS
Dietitian, Registered
1649 VAN NESS AVE
FRESNO, CA 93721
Fresno County (888) 530-4415
KELSEY LEE
Family Medicine
1649 VAN NESS AVE
FRESNO, CA 93721
Fresno County (800) 637-3187
THOMAS GIDDINGS OTR/L
Occupational Therapist
1649 VAN NESS AVE
FRESNO, CA 93721
Fresno County (559) 777-6722
LYDIA JANE FORTNER PTA
Physical Therapy Assistant
1649 VAN NESS AVE
FRESNO, CA 93721
Fresno County (559) 777-6722
KAMALPREET KAUR SEKHON DNP, FNP-C
Nurse Practitioner (Family)
1649 VAN NESS AVE
FRESNO, CA 93721
Fresno County (559) 777-6722
NOAH GARCIA LCSW
Social Worker (Clinical)
1649 VAN NESS AVE
FRESNO, CA 93721
Fresno County (888) 530-4415
MR. JULIO ALONSO GARIBAY FNP-C
Nurse Practitioner (Family)
1649 VAN NESS AVE
FRESNO, CA 93721
Fresno County (559) 777-6722

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 Sequoia Pace, LLC.'s NPI number?

The NPI number for Sequoia Pace, LLC. is 1063988384. It was assigned to this organization in the NPPES registry on October 15, 2018.

Where is Sequoia Pace, LLC. located?

Sequoia Pace, LLC. is located at 1649 Van Ness Ave, Fresno, CA 93721. The listed phone number is (650) 242-5908.

What is Sequoia Pace, LLC.'s specialty?

The primary specialty registered for this NPI is Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X.

Does Sequoia Pace, LLC. hold CLIA laboratory certificates?

Yes. 2 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 Sequoia Pace, LLC. was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.