GARY AND MARY WEST PACE
NPI 1295249035
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in San Marcos, CA

Q: What is Gary And Mary West Senior Services, Inc.'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.

Active since November 30, 2017CLIA 05D2159675 · Waiver

1706 DESCANSO AVE, SAN MARCOS, CA 92078(858) 412-7000 Get Directions Write a Review

NPPES record last updated: December 10, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 10, 2019, Oct 10, 2018, Nov 30, 2017 (3 updates tracked since 2017).

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About Gary And Mary West Pace NPPES

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

GARY AND MARY WEST PACE (NPI 1295249035) is a healthcare organization registered as a program of all-inclusive care for the elderly (pace) provider organization in San Marcos, California and active in the NPI registry since November 2017. The organization holds a CLIA Waiver certificate valid through December 20, 2026 and lists Kannamma Kannan, Qi And Compliance Director, as its authorized official.

NPPES Registry Identity

NPI1295249035

Entity TypeOrganization

Primary Taxonomy251T00000X

Legal Business NameGARY AND MARY WEST SENIOR SERVICES, INC.

Location Address1706 DESCANSO AVESan Marcos, CA 92078-2514

Mailing Address1706 Descanso AveSan Marcos, CA 92078-2514 · (760) 280-2230

Phone(858) 412-7000

Organization SubpartNo

Authorized OfficialKannamma KannanQi And Compliance Director · (760) 280-2232

Enumeration DateNovember 30, 2017

Last NPPES UpdateDecember 10, 20193 updates tracked since enumeration

✔ NPI 1295249035 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.

1706 DESCANSO AVE, San Marcos, CA 92078

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Other Names 1

Doing Business AsGary And Mary West Pace

CLIA Laboratory Certificates CMS CLIA

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 05D2159675

Gary And Mary West Senior Services, Inc · San Marcos, CA

Active · expires Dec 20, 2026

CLIA Number05D2159675

Laboratory TypePace Program

Certificate Effective DateDecember 21, 2024

Certificate Expiration DateDecember 20, 2026

Laboratory DirectorNeha Sampath

Laboratory Phone(760) 280-2230

Laboratory LocationGary And Mary West Senior Services, Inc1706 Descanso Avenue, San Marcos, CA 92078

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 11

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

JULIA GODLEY NP

Nurse Practitioner (Gerontology)