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CALOPTIMA NPI 1467870543


NPI Information

NPI: 1467870543
Provider Name: CALOPTIMA

Other Name: CALOPTIMA PACE

Classification: Program of All-Inclusive Care for the Elderly (PACE) Provider Organization - 251T00000X
Entity Type: Organization

CLIA Number: 05D2058114

Address:
13300 GARDEN GROVE BLVD
GARDEN GROVE, CA
ZIP 92843
Phone: (714) 468-1100
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CALOPTIMA is a program of all inclusive care for the elderly pace provider organization in Garden Grove, CA. The provider is 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. CALOPTIMA NPI is 1467870543. The provider is registered as an organization entity type.
The provider Other Name Is Caloptima Pace.

The provider's business location address is:

13300 GARDEN GROVE BLVD
GARDEN GROVE, CA
ZIP 92843-207
Phone: (714) 468-1100

The provider's authorized official is Michae Schrader .
The authorized official title is Chief Executive Officer and has the following contact phone number (714) 246-8400.

The CLIA number assigned to this NPI record is 05D2058114 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/4/2014 and was last updated on 4/4/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251T00000XProgram of All-Inclusive Care for the Elderly (PACE) Provider OrganizationYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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