PACIFIC CLINICS (NPI# 1447360730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447360730 |
| Entity Type | Organization |
| Organization Name | PACIFIC CLINICS |
| Other Organization Name | PACIFIC CLINICS EAST |
| Practice Address |
902 S Myrtle Ave Monrovia CA 91016-3427 |
| Mailing Address |
800 S Santa Anita Ave Arcadia CA 91006-6853 |
| Practice Telephone | 6263573258 |
| Practice Fax Number | 6263010868 |
| Mailing Telephone | 6262545000 |
| Mailing Fax Number | 6262941077 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2016-07-22 |
| Authorized Official Name | JAMES J. BALLA (PRESIDENT & CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6262545000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1979 | 05 |
| Other Name | Type Code |
|---|---|
| Pacific Clinics East | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306239439 | Pacific Clinics | Community/Behavioral Health | 235 N Central Ave, Glendale, CA 91203-2531 | 2015-03-13 |
| 1528492188 | Pacific Clinics | Community/Behavioral Health | 1134 S Barranca Ave, Glendora, CA 91740-4916 | 2013-08-30 |
| 1164762092 | Pacific Clinics | Case Manager/Care Coordinator | 2144 Midvale Ave., Los Angeles, CA 90025 | 2013-03-01 |
| 1871819813 | Pacific Clinics | Rehabilitation Practitioner | 1717 Orangewood, Orange, CA 92687 | 2010-04-15 |
| 1275868267 | Pacific Clinics | Community/Behavioral Health | 11741 Telegraph Rd Ste A, B & C, Santa Fe Springs, CA 90670-3681 | 2009-10-08 |
| 1639357478 | Pacific Clinics | Community/Behavioral Health | 5050 Kings Row, El Monte, CA 91731-5405 | 2008-02-04 |
| 1346428182 | Pacific Clinics | Community/Behavioral Health | 581 Claremont Pl, Pomona, CA 91767-4904 | 2008-02-04 |
| 1487831947 | Pacific Clinics | Community/Behavioral Health | 735 S Soto St, Los Angeles, CA 90023-1336 | 2008-01-28 |
| 1780873935 | Pacific Clinics | Community/Behavioral Health | 1340 N Enid Ave, Covina, CA 91722-1214 | 2007-10-23 |
| 1952590101 | Pacific Clinics | Community/Behavioral Health | 1500 E Francisquito Ave, West Covina, CA 91791-3823 | 2007-10-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PACIFIC CLINICS | 800 S Santa Anita Ave, Arcadia, CA 91006-3536 |
| Street Address |
902 S MYRTLE AVE |
| City | MONROVIA |
| State | CA |
| Zip Code | 91016-3427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871109025 | Carrie Kathleen Reynolds | Counselor | 902 S Myrtle Ave, Monrovia, CA 91016-3427 | 2020-09-22 |
| 1861000622 | Bethany Grace Ferguson | Rehabilitation Counselor | 902 S Myrtle Ave, Monrovia, CA 91016-3427 | 2020-07-17 |
| 1528683745 | Lisa Michelle Rahm | Student in an Organized Health Care Education/Training Program | 902 S Myrtle Ave, Monrovia, CA 91016-3427 | 2020-06-12 |
| 1932730454 | Ezra Robert Nordin Dureault | Licensed Psychiatric Technician | 902 S Myrtle Ave, Monrovia, CA 91016-3427 | 2020-02-03 |
| 1063059681 | Erlinda Uribe | Licensed Psychiatric Technician | 902 S Myrtle Ave, Monrovia, CA 91016 | 2019-12-02 |
| 1124662994 | Dominic Gerald Villanueva | Counselor | 902 S Myrtle Ave, Monrovia, CA 91016-3427 | 2019-11-04 |
| 1215571484 | Lisa Donerson | Licensed Vocational Nurse | 902 S Myrtle Ave, Monrovia, CA 91016-3427 | 2019-10-31 |
| 1912541301 | Marian Girgis | Counselor | 902 S Myrtle Ave, Monrovia, CA 91016-3427 | 2019-10-30 |
| 1558923029 | Sahran Abena Hamit | Rehabilitation Counselor | 902 S Myrtle Ave, Monrovia, CA 91016-3427 | 2019-07-03 |
| 1164083440 | Giselle Levin | Rehabilitation Counselor | 902 S Myrtle Ave, Monrovia, CA 91016-3427 | 2019-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659914166 | Cynthia Marie Garcia | Behavior Technician | 612 S. Myrtle Ave., Suite 100, Monrovia, CA 91016 | 2019-10-28 |
| 1366096232 | Richard Compton Lamb | Health Educator | 825 S Myrtle Avenue, Monrovia, CA 91016 | 2019-07-30 |
| 1487208450 | Brendan Mai | Behavioral Analyst | 200 W Atara St, Monrovia, CA 91016 | 2019-07-29 |
| 1124672035 | Kathleen Marie Novell | Speech-Language Pathologist | 168 Poinsettia Avenue, Monrovia, CA 91016 | 2019-07-29 |
| 1932675931 | Rainbow Home Inc | Clinic/Center | 917 Monrovista Ave, Unit A, Monrovia, CA 91016 | 2018-10-17 |
| 1386136398 | Anh Van Ly | Physician Assistant | 116 W. Lime Ave, Monrovia, CA 91016 | 2018-06-05 |
| 1447741160 | Vera Lucia Mayorga | Licensed Psychiatric Technician | 816 Bonita St Apt B, Monrovia, CA 91016 | 2018-05-29 |
| 1518484146 | Carolyn Ann Burns | Home Health Aide | 1321 Orange Ave, Monrovia, CA 91016 | 2017-08-24 |
| 1962924357 | Ariela Ettie Emery | Genetic Counselor, MS | 655 East Huntington Drive, Monrovia, CA 91016 | 2017-07-07 |
| 1427578624 | Rebecca Niole Leal | Marriage & Family Therapist | 507 W Foothill Blvd, Monrovia, CA 91016 | 2017-06-20 |
| Find all providers in zip 91016 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922656131 | D'veal Family and Youth Services | Community/Behavioral Health | 148 W Duarte Rd, Monrovia, CA 91016-4539 | 2019-08-30 |
| 1972151132 | D'veal Family and Youth Services | Community/Behavioral Health | 845 W Colorado Blvd, Monrovia, CA 91016-2517 | 2019-08-30 |
| 1386292761 | D'veal Family and Youth Services | Community/Behavioral Health | 226 S Ivy Ave, Monrovia, CA 91016-2836 | 2019-08-29 |
| 1982252359 | D'veal Family and Youth Services | Community/Behavioral Health | 232 Jasmine Ave, Monrovia, CA 91016-2919 | 2019-08-29 |
| 1619525144 | D'veal Family and Youth Services | Community/Behavioral Health | 1300 Boley St, Monrovia, CA 91016-4905 | 2019-08-28 |
| 1083262513 | D'veal Family and Youth Services | Community/Behavioral Health | 210 N Mayflower Ave, Monrovia, CA 91016-2008 | 2019-08-28 |
| 1700434230 | D'veal Family and Youth Services | Community/Behavioral Health | 402 W Colorado Blvd, Monrovia, CA 91016-2647 | 2019-08-28 |
| 1730737586 | D'veal Family and Youth Services | Community/Behavioral Health | 930 E Lemon Ave, Monrovia, CA 91016-3076 | 2019-08-26 |
| 1083267884 | Telesmart Services | Community/Behavioral Health | 341 Hill St, Monrovia, CA 91016-2337 | 2019-07-20 |
| 1962930859 | Boys Republic | Community/Behavioral Health | 128 E Palm Ave, Monrovia, CA 91016-5108 | 2017-05-23 |
| Find all providers in MONROVIA | ||||
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| 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.