PACIFIC CLINICS (NPI# 1528178852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528178852 |
| Entity Type | Organization |
| Organization Name | PACIFIC CLINICS |
| Other Organization Name | PACIFIC CLINICS BONITA FAMILY SERVICES CENTER |
| Practice Address |
790 E Bonita Ave Pomona CA 91767-1906 |
| Mailing Address |
800 S Santa Anita Ave Arcadia CA 91006-6853 |
| Practice Telephone | 9096257207 |
| Practice Fax Number | 9096261524 |
| Mailing Telephone | 6262545000 |
| Mailing Fax Number | 6262941077 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2016-08-29 |
| 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 | 7561 | 05 | |
| CA | 19AN | 05 |
| Other Name | Type Code |
|---|---|
| Pacific Clinics Bonita Family Services Center | 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 |
790 E BONITA AVE |
| City | POMONA |
| State | CA |
| Zip Code | 91767-1906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558335752 | Sarvotham K Reddy Md Inc | Colon & Rectal Surgery | 790 E Bonita Ave, # 230, Pomona, CA 91767 | 2006-02-14 |
| 1366060626 | Andrea Carbajal Flores | Student in an Organized Health Care Education/Training Program | 790 E Bonita Ave, Pomona, CA 91767-1906 | 2020-07-13 |
| 1033737184 | Pedro Garcia Bengochea | Student in an Organized Health Care Education/Training Program | 790 E Bonita Ave, Pomona, CA 91767-1906 | 2020-07-06 |
| 1255956314 | Gracie Ellen Jackson | Student in an Organized Health Care Education/Training Program | 790 E Bonita Ave, Pomona, CA 91767-1906 | 2020-06-14 |
| 1417582115 | Jazminne Robles | Counselor | 790 E Bonita Ave, Pomona, CA 91767-1906 | 2020-03-03 |
| 1306480173 | Claire Skomsvold | Counselor | 790 E Bonita Ave, Pomona, CA 91767-1906 | 2019-11-04 |
| 1841849148 | Elena Noemi Becerra | Counselor | 790 E Bonita Ave, Pomona, CA 91767-1906 | 2019-09-09 |
| 1265099428 | Ruby Martinez | Student in an Organized Health Care Education/Training Program | 790 E Bonita Ave, Pomona, CA 91767-1906 | 2019-05-23 |
| 1992368476 | Jessica Amber Alle-corliss | Social Worker | 790 E Bonita Ave, Pomona, CA 91767-1906 | 2019-04-19 |
| 1952868267 | Jonathan A Centeno | Counselor | 790 E Bonita Ave, Pomona, CA 91767-1906 | 2019-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807979 | Ayed Hawatmeh Dds Inc | Dentist | 322 E Foothill Blvd, Pomona, CA 91767 | 2020-10-02 |
| 1780205302 | Melanie Crystal Ramirez | Counselor | 845 East Arrow Hwy, Pomona, CA 91767 | 2020-05-05 |
| 1780249029 | Jean Hang | Pharmacist | 775 East Foothill Blvd, Pomona, CA 91767 | 2019-05-02 |
| 1679043269 | Christy Bloss | Counselor | 16029 Arrow Hwy. Suite G, Irwindale, CA 91767 | 2018-11-27 |
| 1740758895 | Pomona Community Health Center | Dentist | 1448 E Holt Avenue, Pomona, CA 91767 | 2018-11-07 |
| 1245749878 | Continental Post Acute LLC | Skilled Nursing Facility | 1912 N.san Antonio, Pomona, CA 91767 | 2017-09-26 |
| 1083134373 | Virginia Thompson | Counselor | 845 E. Arrow Hwy., Pomona, CA 91767 | 2017-06-27 |
| 1215489000 | Boys Republic - Pomona Residence | Community/Behavioral Health | 733 N Garey Ave, Pomona, CA 91767 | 2016-10-27 |
| 1164870499 | Karthikeyan Bhuvaneswaran | Psychiatry & Neurology | 255 E Bonita Ave Bldg Suite103, Pomona, CA 91767 | 2016-05-26 |
| 1679936777 | Nex's Traditional Chinese Medicine | Acupuncturist | 1150 N Garey Ave, Pomona, CA 91767 | 2016-04-05 |
| Find all providers in zip 91767 | ||||
| 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 |
|---|---|---|---|---|
| 1326653262 | Fernando Iniguez | Community/Behavioral Health | 404 W Alvarado St, Pomona, CA 91768-3015 | 2020-09-08 |
| 1972124378 | Rosa Guadalupe Garcia | Community/Behavioral Health | 1890 N Garey Ave Ste C, Pomona, CA 91767-2923 | 2020-04-27 |
| 1215489000 | Boys Republic - Pomona Residence | Community/Behavioral Health | 733 N Garey Ave, Pomona, CA 91767 | 2016-10-27 |
| 1700270188 | Hillsides | Community/Behavioral Health | 1902 Royalty Dr Ste 240&260, Pomona, CA 91767-3061 | 2015-03-24 |
| 1902223589 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 3 Cottontail Dr, Pomona, CA 91766 | 2014-03-21 |
| 1720404239 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 942 Barbara Ln, Pomona, CA 91767 | 2014-03-07 |
| 1801235973 | Medi-cure Health Services, Inc. | Community/Behavioral Health | 1444 E Holt Ave, Pomona, CA 91767-5865 | 2013-06-21 |
| 1073952149 | Medi-cure Health Services, Inc | Community/Behavioral Health | 1460 E Holt Ave # 430, Pomona, CA 91767-5856 | 2013-06-21 |
| 1427497593 | Medi-cure Health Seervices, Inc. | Community/Behavioral Health | 1460 E Holt Ave Ste 6, Pomona, CA 91767-5835 | 2013-06-21 |
| 1346594405 | Angie Wellness & Recovery Center | Community/Behavioral Health | 637 N Park Ave, Pomona, CA 91768-3669 | 2012-10-28 |
| Find all providers in POMONA | ||||
Please comment or provide details below to improve the information on PACIFIC CLINICS.
| 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.