GRACELIGHT COMMUNITY HEALTH
NPI 1740835743
Clinic/Center - Federally Qualified Health Center (FQHC) in Los Angeles, CA
About Gracelight Community Health NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRACELIGHT COMMUNITY HEALTH (NPI 1740835743), 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 August 2019. The organization holds a CLIA Waiver certificate valid through April 8, 2028 and lists Eloisa Perard, President & Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Gracelight Community Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
75Medicare enrollment records show 75 clinicians reassign Medicare billing to Gracelight Community Health, which bills Medicare for the services they deliver. Of these, 51 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 11
Nearest to this location (20)
See all 75Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 05D2181711
Gracelight Community Health · Los Angeles, CAFrequently 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 1740835743. It was assigned to this organization in the NPPES registry on August 6, 2019. The provider was formerly known as Queenscare Health Centers.
Where is Gracelight Community Health located?
Gracelight Community Health is located at 303 Loma Dr Ste 202, Los Angeles, CA 90017. The listed phone number is (323) 635-1140.
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.
Is Gracelight Community Health enrolled in Medicare?
Yes. Gracelight Community Health is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Gracelight Community Health?
According to the CMS Revalidation Reassignment List (October 2026 release), 75 clinicians in 11 Medicare specialties reassign their Medicare billing to Gracelight Community Health. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (16), Obstetrics/Gynecology (12) and Family Practice (11). Of these, 51 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Gracelight Community Health hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2181711) is associated with this NPI, valid through April 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Gracelight Community Health was last updated on June 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Gracelight Community Health · NPI 1740835743
Federally Qualified Health Center (FQHC) organization in Los Angeles, California. Organization record, active in the CMS NPPES registry since August 6, 2019.
## Identity
- **NPI:** 1740835743 (Entity type: Organization)
- **Enumerated:** August 6, 2019
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Eloisa Perard, PRESIDENT & CEO
## Practice location
- **Address:** 303 LOMA DR STE 202, Los Angeles, CA 90017-1103
- **Phone:** (323) 635-1140
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 75 clinicians in 11 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (16), Obstetrics/Gynecology (12), Family Practice (11); 51 practice within 10 miles; [full list](https://npiprofile.com/npi/1740835743/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 27, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1740835743) · Data from the CMS NPPES public registry.