SOUTH PACIFIC


Address: 16260 Ventura Blvd, Rncino, CA 91364
Phone: 8189861977

SOUTH PACIFIC (NPI# 1013360676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013360676
Entity Type Organization
Organization Name SOUTH PACIFIC
Other Organization Name SOUTH PACIFIC
Practice Address 16260 Ventura Blvd
Rncino
CA 91364
Mailing Address 16260 Ventura Blvd
Encino
CA 91436-2203
Practice Telephone 8189861977
Mailing Telephone 8189861977
Enumeration Date 2016-07-19
Last Update Date 2016-07-19
Authorized Official Name KAREN SHAPIRO COBAIN (PTA)
Authorized Official Telephone 8185779410
Authorized Official Credential PTA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility AT1195 CA Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
South Pacific Former Legal Business Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1700243920 South Pacific Skilled Nursing Facility 10425 Somerset Blvd, Bellflower, CA 90706-3322 2016-01-19

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities SOUTH PACIFIC 955 S Havana St 120, Denver, CO 80012
Oregon Corporations, Companies and Business Names SOUTH PACIFIC AUTO SALES, INC. 5040 Pacific Blvd Sw, Albany, OR 97321
Washington State Corporations SOUTH PACIFIC AVE LLC 1711 Pacific Ave S, Long Beach, WA 98631-3400
Colorado Business Entities South Pacific Beverage Company 301 G Street Southwest Apt 101, Washington, DC 20024
System for Award Management (SAM) Entities SOUTH PACIFIC CHIROPRACTIC CLINIC ABROAD 25001 Industrial Blvd, Hayward, CA 94545-2801
Washington State Corporations SOUTH PACIFIC COMMUNITY INTERNATIONAL 516 S 132nd St, Seattle, WA 98168
Washington State Corporations SOUTH PACIFIC CONSULTING, LLC 4020 Tribute Ave E, Fife, WA 98424
New York State Corporations SOUTH PACIFIC CONTRACTING INC 119 Rockland Center, Ste. 165, Nanuet, New York 10954
System for Award Management (SAM) Entities SOUTH PACIFIC CONTRACTING LLC 46 411 C Kahuhipa St, Kaneohe, HI 96744-3510
Washington State Corporations SOUTH PACIFIC COUNTY FISHERIES TRUST 165 Howerton Way Se, Ilwaco, WA 98624-9088

Office Location

Street Address 16260 VENTURA BLVD
City RNCINO
State CA
Zip Code 91364

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316574890 Woodland Hills Cardiology Group, PC Internal Medicine Woodland Hills Cardiology Group, PC, 22900 Ventura Blvd, Ste 165, Woodland Hills, CA 91364 2020-03-25
1952940967 Creative Care, Inc. Substance Abuse Rehabilitation Facility 5311 Topanga Canyon Blvd, Suites 203 & 207, Woodland Hills, CA 91364 2019-12-23
1629544531 Jessica Sarah Anishban Marriage & Family Therapist 22935 Ventura Blvd Ste 212, Woodland Hills, CA 91364 2018-10-17
1194249128 Katia Siri Acupuncturist 4830 Winnetka Avenue, Woodland Hills, CA 91364 2017-08-01
1457881070 Navid Messian Marriage & Family Therapist 5308 Penfield Ave., Woodland Hills, CA 91364 2017-06-15
1801330766 Samantha Meghann Mathew Behavioral Analyst 20259 Ventura Blvd Ste 259a, Woodland Hills, CA 91364 2016-12-12
1356793947 Evolve Growth Initiatives, LLC Clinic/Center 4810 Azucena Rd, Woodland Hills, CA 91364 2016-07-07
1538516976 Chris Massman Marriage & Family Therapist 5242 Darro Road, Woodland Hills, CA 91364 2016-05-16
1588065874 Morrice Barkers Apprey Marriage & Family Therapist 21031 Ventura Blvd., #704, Woodland Hills, CA 91364 2014-09-06
1144640723 Kenneth Gustafson Physical Therapy Assistant 23888 Mulholland Drive, Ms # 270, Woodland Hills, CA 91364 2014-04-22
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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey.

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1689272528 Orchards Hc LLC Skilled Nursing Facility 1 Amistad Drive, Rancho Mission Viejo, CA 92694 2020-10-13
1083223481 Santa Clarita Congregate Living Inc Skilled Nursing Facility 29830 Wisteria Valley Rd, Santa Clarita, CA 91387-1954 2020-07-31
1033737051 Beautiful Homes Residential Care Inc Skilled Nursing Facility 22525 Cerise Ave, Torrance, CA 90505-2913 2020-07-07
1043837966 Desert Ridge Transitional Care Center, Lp Skilled Nursing Facility 13300 11th Avenue, Victorville, CA 92395 2020-06-26
1881210847 Ghc of Tem - Snf, LLC Skilled Nursing Facility 44320 Campanula Way, Temecula, CA 92592-7903 2020-06-24
1861018327 Covina Clhf Corporation Skilled Nursing Facility 1411 S Sandia Ave, West Covina, CA 91790-3309 2020-06-22
1780204024 Neighbor Care Congregate Home, Inc. Skilled Nursing Facility 3249 Gerald Dr, Newbury Park, CA 91320-2948 2020-04-16
1558998047 Sunflower Clhf, Inc. Skilled Nursing Facility 1058 Ruberta Ave, Glendale, CA 91201-2105 2020-03-24
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Competitor

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City RNCINO
Zip Code 91364

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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