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LA COAST PACE, LLC
NPI 1457838955
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in Long Beach, CA

Active since July 26, 2018CLIA Certified · 2 labs
1220 E 4TH ST, LONG BEACH, CA 90802(650) 741-0743 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 25, 2025, Aug 7, 2023, Nov 3, 2022 and 2 more (5 updates tracked since 2018).

About La Coast Pace, Llc NPPES

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

LA COAST PACE, LLC (NPI 1457838955) is a healthcare organization registered as a program of all-inclusive care for the elderly (pace) provider organization in Long Beach, California and active in the NPI registry since July 2018. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Carson, and lists Clara Jaques, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1457838955
Entity TypeOrganization
Primary Taxonomy251T00000X
Legal Business NameLA COAST PACE, LLC
Location Address1220 E 4TH STLong Beach, CA 90802-1831
Mailing Address405 El Camino Real # 248Menlo Park, CA 94025-5240
Phone(650) 741-0743
Organization SubpartNo
Authorized OfficialClara JaquesExecutive Director · (562) 206-1681
Enumeration DateJuly 26, 2018
Last NPPES UpdateMarch 25, 20255 updates tracked since enumeration
NPPES CertifiedMarch 25, 2025
✔ NPI 1457838955 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.
1220 E 4TH ST, Long Beach, CA 90802
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Secondary Practice Location 1

Location 120920 Chico StCarson, CA 90746-3603 · Phone (800) 734-8041

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 05D2168036

La Coast Pace LLC · Long Beach, CA
Active · expires Jun 18, 2027
CLIA Number05D2168036
Laboratory TypeAll Inclusive Care
Certificate Effective DateJune 19, 2025
Certificate Expiration DateJune 18, 2027
Laboratory DirectorSabrina Villalba
Laboratory Phone(800) 734-8041
Laboratory LocationLa Coast Pace LLC1220 E 4th St, Long Beach, CA 90802
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 05D2286471

La Coast Pace, LLC · Carson, CA
Active · expires Jul 27, 2027
CLIA Number05D2286471
Laboratory TypeProg Of All Inclusive Car
Certificate Effective DateJuly 28, 2025
Certificate Expiration DateJuly 27, 2027
Laboratory DirectorAparna S. Akolkar
Laboratory Phone(424) 444-5097
Laboratory LocationLa Coast Pace, LLC20920 Chico St, Carson, CA 90746
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 9

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

SUNOK KIM NURSE PRACTITIONER
Nurse Practitioner (Primary Care)
1220 E 4TH ST
LONG BEACH, CA 90802
Los Angeles County (562) 206-1681
WELBE HEALTH HC SOCAL, LLC
In Home Supportive Care
1220 E 4TH ST
LONG BEACH, CA 90802
Los Angeles County (650) 683-1469
ALBERTO HERNANDEZ PTA
Physical Therapy Assistant
1220 E 4TH ST
LONG BEACH, CA 90802
Los Angeles County (888) 530-4415
MS. KATHERINE MARY BUKANC MSPT
Physical Therapist
1220 E 4TH ST
LONG BEACH, CA 90802
Los Angeles County (800) 734-8041
MS. JENA RENAE CHOMCHAVALIT LCSW
Social Worker (Clinical)
1220 E 4TH ST
LONG BEACH, CA 90802
Los Angeles County (562) 285-6774
PRITI SHAH MPT, MPH
Physical Therapist
1220 E 4TH ST
LONG BEACH, CA 90802
Los Angeles County (562) 456-4914
DR. CHAD C LOWE D.O.
Family Medicine
1220 E 4TH ST
LONG BEACH, CA 90802
Los Angeles County (888) 530-4415
ALEXIS SAMUDIA LCSW
Social Worker
1220 E 4TH ST
LONG BEACH, CA 90802
Los Angeles County (562) 206-1681

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 La Coast Pace, LLC's NPI number?

The NPI number for La Coast Pace, LLC is 1457838955. It was assigned to this organization in the NPPES registry on July 26, 2018.

Where is La Coast Pace, LLC located?

La Coast Pace, LLC is located at 1220 E 4th St, Long Beach, CA 90802. The listed phone number is (650) 741-0743.

What is La Coast 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 La Coast 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 La Coast 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.