PACIFIC CLINICS (NPI# 1679683973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679683973 |
| Entity Type | Organization |
| Organization Name | PACIFIC CLINICS |
| Other Organization Name | PACIFIC CLINICS ACT WEST COVINA |
| Practice Address |
1517 W Garvey Ave N West Covina CA 91790-2138 |
| Mailing Address |
800 S Santa Anita Ave Arcadia CA 91006-6853 |
| Practice Telephone | 6269626061 |
| Practice Fax Number | 6269624471 |
| 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 | 7224 | 05 |
| Other Name | Type Code |
|---|---|
| Pacific Clinics ACT West Covina | 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 |
1517 W GARVEY AVE N |
| City | WEST COVINA |
| State | CA |
| Zip Code | 91790-2138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028405 | Rebecca Ann Beckett | Student in an Organized Health Care Education/Training Program | 1517 W Garvey Ave N, West Covina, CA 91790-2138 | 2020-09-21 |
| 1417563859 | Robin Alyssa Harney | Student in an Organized Health Care Education/Training Program | 1517 W Garvey Ave N, West Covina, CA 91790-2138 | 2020-09-21 |
| 1710530522 | Valerie Arribeno | Counselor | 1517 W Garvey Ave N, West Covina, CA 91790-2138 | 2019-07-20 |
| 1225695398 | Theodore Hardwick | Student in an Organized Health Care Education/Training Program | 1517 W Garvey Ave N, West Covina, CA 91790-2138 | 2019-05-23 |
| 1447713300 | Gershom Israel Chavez | Case Manager/Care Coordinator | 1517 W Garvey Ave N, West Covina, CA 91790-2138 | 2019-04-08 |
| 1003372772 | Jamika Jackson | Licensed Psychiatric Technician | 1517 W Garvey Ave N, West Covina, CA 91790-2138 | 2019-02-18 |
| 1013490705 | Peggy Lee Sanchez | Licensed Psychiatric Technician | 1517 W Garvey Ave N, West Covina, CA 91790-2138 | 2018-09-10 |
| 1093208753 | Alma Susana Zarate | Case Manager/Care Coordinator | 1517 W Garvey Ave N, West Covina, CA 91790-2138 | 2018-06-07 |
| 1285132894 | Claud L Flanagan IIi | Case Manager/Care Coordinator | 1517 W Garvey Ave N, West Covina, CA 91790-2138 | 2018-01-29 |
| 1285141887 | Linette Roselle Kanyer | Case Manager/Care Coordinator | 1517 W Garvey Ave N, West Covina, CA 91790-2138 | 2018-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285279067 | Liang-wen Chen | Acupuncturist | 1433 West Merced Ave. Suite 304, West Covina, CA 91790 | 2019-11-15 |
| 1245880517 | Cheuk Man Chan | Acupuncturist | 1433 W Merced Ave., #309, West Covina, CA 91790 | 2019-09-18 |
| 1982174561 | Alexandra Isaacs | Marriage & Family Therapist | 1215 W. West Covina Pkwy., West Covina, CA 91790 | 2018-11-27 |
| 1568949709 | Lulua Zulfikarali Bahrainwala | Student in an Organized Health Care Education/Training Program | 1115 S Sunset Avenue #3940, West Covina, CA 91790 | 2018-07-20 |
| 1417442740 | Lydia Joy David | Nurse Practitioner | 1769 S Sunset Ave, West Covina, CA 91790 | 2018-06-28 |
| 1043721046 | Kimberly E Nevarez | Specialist/Technologist | 410 E Merced Ave Suite D, Suite D, West Covina, CA 91790 | 2017-10-17 |
| 1952825754 | Evan Lee Hendriks | Physician Assistant | 301 S Glendora Ave, Apt 2142, West Covina, CA 91790 | 2017-08-02 |
| 1669994588 | Meryl Francine Liu | Dentist | 1101 S. Glendora Ave #a, West Covina, CA 91790 | 2017-07-12 |
| 1326586330 | Athena Merianos | Marriage & Family Therapist | 1215 W. West Parkway, West Covina, CA 91790 | 2017-02-09 |
| 1912445990 | Lissette Bueno | Case Manager/Care Coordinator | 1517 West Garvey Ave North, West Covina, CA 91790 | 2017-02-09 |
| Find all providers in zip 91790 | ||||
| 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 |
|---|---|---|---|---|
| 1942823471 | The Right Time Recovery Center | Community/Behavioral Health | 2808 E Cortez St, West Covina, CA 91791-2940 | 2020-05-19 |
| 1679104806 | Institute for Multicultural Counseling and Education Services, Inc | Community/Behavioral Health | 1730 W Cameron Ave Ste 200, West Covina, CA 91790-2722 | 2020-01-27 |
| 1023504917 | Anka Behavioral Health Incorporated | Community/Behavioral Health | 645 S Inman Rd, West Covina, CA 91791-2919 | 2018-07-03 |
| 1386045979 | Baldwin Park Counseling | Community/Behavioral Health | 1710 W Cameron Ave Ste 202, West Covina, CA 91790-2720 | 2014-09-15 |
| 1518395664 | Katie Cook | Community/Behavioral Health | 1301 Hollencrest Dr, West Covina, CA 91791-3712 | 2013-10-29 |
| 1457534760 | New Hope Center Inc | Community/Behavioral Health | 606 N Azusa Ave, West Covina, CA 91791-1147 | 2007-12-10 |
| 1952590101 | Pacific Clinics | Community/Behavioral Health | 1500 E Francisquito Ave, West Covina, CA 91791-3823 | 2007-10-23 |
| 1700912557 | Children's Bureau of Southern California | Community/Behavioral Health | 1515 W Cameron Ave Ste 350, West Covina, CA 91790-2726 | 2007-02-26 |
| 1144684721 | Enki Health Service, Inc. | Community/Behavioral Health | 1215 W West Covina Pkwy, West Covina, CA 91790-2946 | 2016-04-08 |
| 1790813780 | Pacific Clinics | Community/Behavioral Health | 2226 E Rio Verde Dr, West Covina, CA 91791-2067 | 2007-03-01 |
| Find all providers in WEST COVINA | ||||
| City | WEST COVINA |
| Zip Code | 91790 |
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.