PACIFIC CLINICS (NPI# 1487764874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487764874 |
| Entity Type | Organization |
| Organization Name | PACIFIC CLINICS |
| Other Organization Name | PACIFIC CLINICS HUDSON FAMILY SERVICES |
| Practice Address |
70 N Hudson Ave Pasadena CA 91101-1808 |
| Mailing Address |
800 S Santa Anita Ave Arcadia CA 91006-6853 |
| Practice Telephone | 6267958471 |
| Practice Fax Number | 6267445242 |
| Mailing Telephone | 6262545000 |
| Mailing Fax Number | 6262941077 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2011-03-04 |
| Authorized Official Name | DR. SUSAN MANDEL (PRESIDENT CEO) |
| Authorized Official Telephone | 6262545000 |
| Authorized Official Credential | PHD |
| 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 | 000007418A | 05 |
| Other Name | Type Code |
|---|---|
| Pacific Clinics Hudson Family Services | 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 |
70 N HUDSON AVE |
| City | PASADENA |
| State | CA |
| Zip Code | 91101-1808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467680827 | Michael Aqleh | Rehabilitation Practitioner | 70 N Hudson Ave, Pasadena, CA 91101-1808 | 2009-06-24 |
| 1780843102 | Dawn Elizabeth Gillam | Social Worker | 70 N Hudson Ave, Pasadena, CA 91101-1808 | 2008-06-02 |
| 1124285291 | Jaqueline Villanueva | Counselor | 70 N Hudson Ave, Pasadena, CA 91101-1808 | 2008-05-16 |
| 1821260233 | Virginia R Dorame | Licensed Psychiatric Technician | 70 N Hudson Ave, Pasadena, CA 91101-1808 | 2008-03-25 |
| 1619165370 | Christina Marie Natale | Rehabilitation Practitioner | 70 N Hudson Ave, Pasadena, CA 91101-1808 | 2007-10-09 |
| 1881888774 | Kimberly Field Baldwin | Marriage & Family Therapist | 70 N Hudson Ave, Pasadena, CA 91101-1808 | 2007-09-04 |
| 1134242266 | Catherine M Lohr | Rehabilitation Practitioner | 70 N Hudson Ave, Pasadena, CA 91101-1808 | 2007-04-06 |
| 1952420093 | Linda S Kim | Art Therapist | 70 N Hudson Ave, Pasadena, CA 91101-1808 | 2007-03-28 |
| 1962528687 | Vivian Duran | Rehabilitation Practitioner | 70 N Hudson Ave, Pasadena, CA 91101-1808 | 2007-03-22 |
| 1245355007 | Sylvia A Nelson | Marriage & Family Therapist | 70 N Hudson Ave, Pasadena, CA 91101-1808 | 2007-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720696404 | Sophia Ting-jan Liang | Student in an Organized Health Care Education/Training Program | 98 S. Los Robles Ave., Kaiser Permanente Bernard J. Tyson School of Medicine, Pasdena, CA 91101 | 2020-07-17 |
| 1851917033 | Casa De Las Amigas | Lodging | 173 N Oak Knoll Ave, Pasadena, CA 91101 | 2020-06-23 |
| 1467076869 | Tong Qi | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Bernard Kj. Tyson School of Medicine, Pasadena, CA 91101 | 2020-06-01 |
| 1386267839 | Kelly B Shriver | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Bernard J. Tyson School of Medicine, 98 S. Los Robles, Pasadena, CA 91101 | 2020-05-19 |
| 1427600758 | Brooke Danielle Pechman | Marriage & Family Therapist | 221 E Walnut Street, Suite 138, Pasadena, CA 91101 | 2019-07-16 |
| 1952897563 | Robert Howes Hambleton | Dentist | 200 S. Oak Knoll Ave #201, Pasadena, CA 91101 | 2018-07-06 |
| 1801306774 | Joseph Hendrix | Social Worker | 1500 South Mcdonnell Avenue, Commerce, CA 91101 | 2017-10-05 |
| 1730606070 | Candice Anne Watson | Nurse Practitioner | 350 South Madison Ave #322, Pasadena, CA 91101 | 2017-08-28 |
| 1700320223 | Jenny H. Pak | Psychologist | 180 N. Oakland Ave., Pasadena, CA 91101 | 2016-12-19 |
| 1578005401 | James Maddox | Student in an Organized Health Care Education/Training Program | 447 El Molino Ave, Pasadena, CA 91101 | 2016-11-09 |
| Find all providers in zip 91101 | ||||
| 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 |
|---|---|---|---|---|
| 1386253177 | Ascend Behavior Consultants LLC | Community/Behavioral Health | 680 E Colorado Blvd, Pasadena, CA 91101-6143 | 2020-07-28 |
| 1437797024 | Elevate Concierge Health, LLC | Community/Behavioral Health | 1280 Afton St, Pasadena, CA 91103-2303 | 2019-12-15 |
| 1841853645 | Prince Health Care Services Inc | Community/Behavioral Health | 8000 Jumpers Hole Rd Ste 212, Pasadena, MD 21122-1046 | 2019-04-17 |
| 1659839298 | North East Los Angeles Psychology | Community/Behavioral Health | 380 S Lake Ave Ste 205, Pasadena, CA 91101-5063 | 2019-03-02 |
| 1972053726 | Five Acres- The Boys' and Girls' Aid Society of Los Angeles County | Community/Behavioral Health | 1236 Solita Rd, Pasadena, CA 91103-2452 | 2016-10-05 |
| 1326591090 | Lead Way Behavioral Services | Community/Behavioral Health | 177 E Colorado Blvd # 200, Pasadena, CA 91105-1986 | 2016-07-29 |
| 1689090169 | Shiloh Center Music Theraphy Services LLC | Community/Behavioral Health | 819 E Pasadena Rd, Pasadena, MD 21122-4002 | 2014-03-08 |
| 1649694324 | Behavior Frontiers | Community/Behavioral Health | 155 N Lake Ave Ste 800, Pasadena, CA 91101-1857 | 2014-02-14 |
| 1609149459 | Whole Mind Wellness Services | Community/Behavioral Health | 32 S Raymond Ave Ste 3b, Pasadena, CA 91105-1961 | 2012-02-09 |
| 1154649564 | D'veal Family and Youth Services | Community/Behavioral Health | 1905 Lincoln Ave, Pasadena, CA 91103-1315 | 2010-05-10 |
| Find all providers in PASADENA | ||||
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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.