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NPI · 1104075282 · NPPES-sourced

Gracelight Community Health

ActiveFederally Qualified Health Center
NPI Number
1104075282
Type 2 · Organisation
Taxonomy Code
261QF0400X
Contact
(323) 780-4510
Primary practice line
Last Updated
Enumerated
Primary practice addressCA · 90022-1602
4816 E 3rd StLos Angeles, CA 90022-1602
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About this NPIWhat this record shows.

NPI 1104075282 is registered to Gracelight Community Health, a healthcare organisation classified as "Federally Qualified Health Center" and located at 4816 E 3rd St in Los Angeles, California. The organisation's authorised official is Eloisa Perard. The organisation has been enumerated in the NPI registry since 2008.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • W6997DCA· Issued by MEDICARE PROVIDER NUMBER
  • 55-1019CA· Issued by MEDICARE FQHC PROVIDER NUMBER

Medicaid

Source: NPPES public registry.

Medicare enrollment

This provider holds 2 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part A Provider

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Gracelight Community Health accepts. To confirm in-network status with your specific health plan, contact Gracelight Community Health directly at (323) 780-4510.

Frequently asked

Yes. NPI 1104075282 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Federally Qualified Health Center is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (323) 780-4510.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Gracelight Community Health is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy261QF0400X
Last updated
Enumerated
StatusActive
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Same specialtyOther Federally Qualified Health Center providers in California.

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