Complete Care Community Health Center, Inc
NPI 1215113964ActiveOrganization· PACE Provider Organization· Los Angeles, CA
PACE Provider Organization in Los Angeles, California, registered in NPPES in January 2008. The authorized official on file is Dina Lenchitsky, Chief Executive Officer. Enrolled in Medicare as part a provider - federally qualified health center (fqhc) and part b supplier - clinic/group practice.
Overview
| NPI | 1215113964 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 11, 2008 |
| Last updated in NPPES | Apr 5, 2023 |
| Certified by provider | Apr 5, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| PACE Provider Organization Primary | 251T00000X | 550000639 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Federally Qualified Health Center (FQHC) (CA); Part B Supplier - Clinic/Group Practice (CA) |
|---|
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