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GRACELIGHT COMMUNITY HEALTH
NPI 1104075282
Clinic/Center - Federally Qualified Health Center (FQHC) in Los Angeles, CA

Active since September 15, 2008
4816 E 3RD ST, LOS ANGELES, CA 90022(323) 780-4510(323) 780-6132 Get Directions Write a Review

NPPES record last updated: October 29, 2025. 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 1104075282), 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 September 2008. The organization lists Eloisa Perard, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1104075282
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameGRACELIGHT COMMUNITY HEALTH
Location Address4816 E 3RD STLos Angeles, CA 90022-1602
Mailing Address4816 E 3rd StLos Angeles, CA 90022-1602 · (323) 780-4510 · Fax (323) 981-1662
Phone(323) 780-4510
Fax(323) 780-6132
Organization SubpartNo
Authorized OfficialEloisa PerardPresident And Ceo · (323) 669-4321
Enumeration DateSeptember 15, 2008
Last NPPES UpdateOctober 29, 20252 updates tracked since enumeration
NPPES CertifiedOctober 29, 2025
✔ NPI 1104075282 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
4816 E 3RD ST, Los Angeles, CA 90022
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Other Names 1

Former Legal Business NameQueenscare Health Centers

Other Identifiers 3

OtherW6997DCA · Medicare Provider Number
MedicaidCMM70660FCA
Other55-1019CA · Medicare Fqhc Provider Number

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.

MRS. KARLA MARIA TURNER DDS
Dentist
4816 E 3RD ST
LOS ANGELES, CA 90022
Los Angeles County (323) 780-4510
GRACELIGHT COMMUNITY HEALTH
Clinic/Center (Federally Qualified Health Center (FQHC))
4816 E 3RD ST
LOS ANGELES, CA 90022
Los Angeles County (323) 780-4510
CECILIA R MITCHELL DDS
Dentist (General Practice)
4816 E 3RD ST
LOS ANGELES, CA 90022
Los Angeles County (323) 780-4510
DR. PHUONG LINH HUSSAIN FNP
Nurse Practitioner (Family)
4816 E 3RD ST
EAST LOS ANGELES, CA 90022
Los Angeles County (323) 780-4510
DORA L GOMEZ
Community Health Worker
4816 E 3RD ST
LOS ANGELES, CA 90022
Los Angeles County (323) 780-4510
LANCE SCHAINA D.O.
Family Medicine
4816 E 3RD ST
LOS ANGELES, CA 90022
Los Angeles County (323) 780-4510
DR. RONNA TAMAYO TORRES DDS
Dentist (General Practice)
4816 E 3RD ST
LOS ANGELES, CA 90022
Los Angeles County (323) 780-4510
ARSAL KAMRAN MD
Student in an Organized Health Care Education/Training Program
4816 E 3RD ST
EAST LOS ANGELES, CA 90022
Los Angeles County (323) 489-8187

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 1104075282. It was assigned to this organization in the NPPES registry on September 15, 2008. The provider was formerly known as QueensCare Health Centers.

Where is Gracelight Community Health located?

Gracelight Community Health is located at 4816 E 3rd St, Los Angeles, CA 90022. The listed phone number is (323) 780-4510.

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.

When was this NPI record last updated?

The NPPES record for Gracelight Community Health was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.