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GRACELIGHT COMMUNITY HEALTH
NPI 1801967062
Clinic/Center - Federally Qualified Health Center (FQHC) in Los Angeles, CA

Active since November 10, 2006CLIA 05D0957562 · Waiver
4448 YORK BLVD, LOS ANGELES, CA 90041(323) 344-5233(323) 344-5237 Get Directions Write a Review

NPPES record last updated: June 27, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 27, 2024, Jan 26, 2021 (2 updates tracked since 2021).

About Gracelight Community Health NPPES

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

GRACELIGHT COMMUNITY HEALTH (NPI 1801967062), 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 November 2006. The organization holds a CLIA Waiver certificate valid through February 22, 2027 and lists Eloisa Perard, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1801967062
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameGRACELIGHT COMMUNITY HEALTH
Location Address4448 YORK BLVDLos Angeles, CA 90041-3328
Mailing Address4816 E 3rd StLos Angeles, CA 90022-1602 · (323) 780-4510 · Fax (323) 981-1662
Phone(323) 344-5233
Fax(323) 344-5237
Organization SubpartNo
Authorized OfficialEloisa PerardPresident & Ceo · (323) 669-4321
Enumeration DateNovember 10, 2006
Last NPPES UpdateJune 27, 20242 updates tracked since enumeration
NPPES CertifiedJune 27, 2024
✔ NPI 1801967062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License✔ Licensed in CA · 960001125
4448 YORK BLVD, Los Angeles, CA 90041
Open in Google Maps ↗

Other Names 1

Former Legal Business NameQueenscare Health Centers

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 05D0957562

Gracelight Community Health · Los Angeles, CA
Active · expires Feb 22, 2027
CLIA Number05D0957562
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateFebruary 23, 2025
Certificate Expiration DateFebruary 22, 2027
Laboratory DirectorDeanah A. Jibril
Laboratory Phone(323) 344-5233
Laboratory LocationGracelight Community Health4448 York Blvd, Los Angeles, CA 90041
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.

LUCY ROJAS
Community Health Worker
4448 YORK BLVD
LOS ANGELES, CA 90041
Los Angeles County (323) 344-5233
AMERICA YADIRA ISSA
Community Health Worker
4448 YORK BLVD
LOS ANGELES, CA 90041
Los Angeles County (323) 344-5233
MYLA PINEDA
Nurse Practitioner (Family)
4448 YORK BLVD
LOS ANGELES, CA 90041
Los Angeles County (323) 344-5233
MARGARITA A RODRIGUEZ M.D.
Family Medicine
4448 YORK BLVD
LOS ANGELES, CA 90041
Los Angeles County (323) 344-5233
DR. YING WANG PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4448 YORK BLVD
LOS ANGELES, CA 90041
Los Angeles County (323) 344-5238
MS. KATHLEEN P WOOD RN-CFNP
Nurse Practitioner (Family)
4448 YORK BLVD
LOS ANGELES, CA 90041
Los Angeles County (323) 344-5233
PRISCILLA ASHLEY LOPEZ
Community Health Worker
4448 YORK BLVD
LOS ANGELES, CA 90041
Los Angeles County (323) 344-5233
MING JACQUELINE LUONG N.P.
Nurse Practitioner
4448 YORK BLVD
LOS ANGELES, CA 90041
Los Angeles County (323) 344-5233

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 Gracelight Community Health's NPI number?

The NPI number for Gracelight Community Health is 1801967062. It was assigned to this organization in the NPPES registry on November 10, 2006. The provider was formerly known as Queenscare Health Centers.

Where is Gracelight Community Health located?

Gracelight Community Health is located at 4448 York Blvd, Los Angeles, CA 90041. The listed phone number is (323) 344-5233.

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.

Does Gracelight Community Health hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0957562) is associated with this NPI, valid through February 22, 2027. 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.