STOCKTON PACE, LLC
NPI 1356830947
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in Stockton, CA

Active since May 09, 2018CLIA Certified · 5 labs
582 E. HARDING WAY, STOCKTON, CA 95204(650) 242-5908 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 29, 2026, Nov 4, 2024, Aug 7, 2023 and 5 more (8 updates tracked since 2018).

About Stockton Pace, Llc NPPES

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

STOCKTON PACE, LLC (NPI 1356830947) is a healthcare organization registered as a program of all-inclusive care for the elderly (pace) provider organization in Stockton, California and active in the NPI registry since May 2018. The organization holds 5 active CLIA laboratory certificates, maintains 4 additional practice locations, and lists Katherine Thomas, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1356830947
Entity TypeOrganization
Primary Taxonomy251T00000X
Legal Business NameSTOCKTON PACE, LLC
Location Address582 E. HARDING WAYStockton, CA 95204
Mailing Address440 N Barranca Ave # 4051Covina, CA 91723-1722 · (209) 442-6077
Organization SubpartNo
Authorized OfficialKatherine ThomasExecutive Director · (209) 697-2632
Enumeration DateMay 9, 2018
Last NPPES UpdateApril 29, 20268 updates tracked since enumeration
NPPES CertifiedApril 29, 2026
NPI 1356830947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

582 E. HARDING WAY, Stockton, CA 95204

Secondary Practice Locations 4

Location 17560 Sheldon RoadElk Grove, CA 95758 · Phone (209) 442-6077
Location 21224 Scenic DrModesto, CA 95350-6137 · Phone (209) 442-6077
Location 3500 Coffee Rd Ste BModesto, CA 95355-4926 · Phone (209) 437-8982
Location 4644 E Harding Way Ste BStockton, CA 95204-6103 · Phone (800) 380-9366

CLIA Laboratory Certificates CMS CLIA 5

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 05D2343370

Stockton Pace, LLC · Stockton, CA
Active · expires May 4, 2028
CLIA Number05D2343370
Laboratory TypeAlternative Care Setting
Certificate Effective DateMay 5, 2026
Certificate Expiration DateMay 4, 2028
Laboratory DirectorChad C. Lowe
Laboratory Phone(800) 380-9366
Laboratory LocationStockton Pace, LLC644 E Harding Way, Ste B, Stockton, CA 95204
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 05D2258850

Stockton Pace, LLC · Modesto, CA
Active · expires Apr 26, 2028
CLIA Number05D2258850
Laboratory TypeProg All Inclusive Care
Certificate Effective DateApril 27, 2026
Certificate Expiration DateApril 26, 2028
Laboratory DirectorRosalio O. Rubio
Laboratory Phone(209) 442-6077
Laboratory LocationStockton Pace, LLC1224 Scenic Drive, Modesto, CA 95350
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 05D2144991

Stockton Pace, LLC · Stockton, CA
Active · expires Feb 26, 2028
CLIA Number05D2144991
Laboratory TypeProg All Inclusive Care
Certificate Effective DateFebruary 27, 2026
Certificate Expiration DateFebruary 26, 2028
Laboratory DirectorDr. Armen Isaiants
Laboratory Phone(209) 442-6077
Laboratory LocationStockton Pace, LLC582 E Harding Way, Stockton, CA 95204
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 05D2294352

Stockton Pace, LLC · Modesto, CA
Active · expires Nov 21, 2027
CLIA Number05D2294352
Laboratory TypeProg Of All Inclusive Car
Certificate Effective DateNovember 22, 2025
Certificate Expiration DateNovember 21, 2027
Laboratory DirectorRosalio O. Rubio
Laboratory Phone(209) 437-8982
Laboratory LocationStockton Pace, LLC500 Coffee Rd, Ste B, Modesto, CA 95355
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 05D2304771

Stockton Pace LLC · Elk Grove, CA
Active · expires May 16, 2028
CLIA Number05D2304771
Laboratory TypeProg Of All Inclusive Car
Certificate Effective DateMay 17, 2026
Certificate Expiration DateMay 16, 2028
Laboratory DirectorChad C. Lowe
Laboratory Phone(916) 250-1627
Laboratory LocationStockton Pace LLC7560 Sheldon Rd, Elk Grove, CA 95758
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Occupational Therapist
582 E. HARDING WAY
STOCKTON, CA 95204

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 Stockton Pace, LLC's NPI number?

The NPI number for Stockton Pace, LLC is 1356830947. It was assigned to this organization in the NPPES registry on May 9, 2018.

Where is Stockton Pace, LLC located?

Stockton Pace, LLC is located at 582 E. Harding Way, Stockton, CA 95204. The listed phone number is (650) 242-5908.

What is Stockton 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 Stockton Pace, LLC hold CLIA laboratory certificates?

Yes. 5 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 Stockton Pace, LLC was last updated on April 29, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.