PACE-CENTER FOR OLDER ADULTS
NPI 1477029205
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in San Diego, CA

NPI Status: Active since October 19, 2018

Contact Information

3420 COLLEGE AVE
SAN DIEGO, CA
ZIP 92115
Phone: (619) 515-2445
Fax: (619) 269-0545

NPI Profile Information
Primary Taxonomy
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Program of All-Inclusive Care for the El...

About PACE-CENTER FOR OLDER ADULTS

This page provides the complete NPI Profile along with additional information for Pace-center For Older Adults, a provider established in San Diego, California operating as a Program Of All-inclusive Care For The Elderly (pace) Provider Organization. The healthcare provider is registered in the NPI registry with number 1477029205 assigned on October 2018. The practitioner's primary taxonomy code is 251T00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Pace-center For Older Adults. The authorized official of this NPI record is Ricardo Roman (Chief Financial Officer)

NPI: 1477029205
Provider Legal Name: FAMILY HEALTH CENTERS OF SAN DIEGO, INC
Other Organization Name: PACE-CENTER FOR OLDER ADULTS
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 3420 COLLEGE AVE SAN DIEGO, CA 92115
Location Phone: (619) 515-2445
Location Fax: (619) 269-0545
Mailing Address: 823 GATEWAY CENTER WAY SAN DIEGO, CA 92102
Mailing Phone: (619) 515-2300
Mailing Fax: (619) 269-0545
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 10-19-2018
Last Update Date: 02-20-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
Taxonomy Code: 251T00000X
Type: Agencies
Taxonomy Description: 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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: RICARDO ROMAN
Authorized Official Title: CHIEF FINANCIAL OFFICER
Authorized Official Phone: (619) 515-2300

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	4	7	7	0	2	9	2	0	5
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	4	14	7	0	2	18	2	0
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 4 + 7 + 0 + 2 + 1 + 8 + 2 + 0 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 5									5

The NPI number 1477029205 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 10 providers are registered at the same or nearby location.

MIGUEL ANGEL MARTINEZ-SIERRA AGPCNP-C

Nurse Practitioner

(Family)