NPI Information

  • NPI: 1962331918
  • Provider Name: COMPLETE CARE PACE PROGRAM
  • Classification: Program of All-Inclusive Care for the Elderly (PACE) Provider Organization - 251T00000X
  • Entity Type: Organization
  • Address: 6609 VAN NUYS BLVD # 102
    VAN NUYS, CA
    ZIP 91405
  • Phone: (888) 605-0108

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NPI Details

COMPLETE CARE PACE PROGRAM is a program of all inclusive care for the elderly pace provider organization in Van Nuys, 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. COMPLETE CARE PACE PROGRAM NPI is 1962331918. The provider is registered as an organization entity type.

The provider's business location address is:

6609 VAN NUYS BLVD # 102
VAN NUYS, CA
ZIP 91405-618
Phone: (888) 605-0108

The provider's authorized official is Marisol Ramirez .
The authorized official title is Cao and has the following contact phone number (818) 812-5410.

The enumeration date for this NPI number is 5/15/2026 and was last updated on 5/15/2026.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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: 11/21/2025

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