PACIFIC CLINICS (NPI# 1760527634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760527634 |
| Entity Type | Organization |
| Organization Name | PACIFIC CLINICS |
| Other Organization Name | PACIFIC CLINICS CENTRO FAMILIAR |
| Practice Address |
11731 Telegraph Rd Ste G Santa Fe Springs CA 90670-6819 |
| Mailing Address |
800 S Santa Anita Ave Arcadia CA 91006-6853 |
| Practice Telephone | 5629428256 |
| Practice Fax Number | 5629429789 |
| Mailing Telephone | 6262545000 |
| Mailing Fax Number | 6262941077 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-10-26 |
| 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 | 7902 | 05 |
| Other Name | Type Code |
|---|---|
| Pacific Clinics Centro Familiar | 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 |
11731 TELEGRAPH RD STE G |
| City | SANTA FE SPRINGS |
| State | CA |
| Zip Code | 90670-6819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909909 | Jennifer Elizabeth Flores | Student in an Organized Health Care Education/Training Program | 11731 Telegraph Rd Ste G, Santa Fe Springs, CA 90670-6819 | 2020-07-13 |
| 1205484516 | Mercedes Zazueta | Rehabilitation Practitioner | 11731 Telegraph Rd Ste G, Santa Fe Springs, CA 90670-6819 | 2019-08-29 |
| 1376101972 | Angelica Diaz | Rehabilitation Counselor | 11731 Telegraph Rd Ste G, Santa Fe Springs, CA 90670-6819 | 2019-05-30 |
| 1518453166 | Luis M Herrera | Counselor | 11731 Telegraph Rd Ste G, Santa Fe Springs, CA 90670 | 2018-07-06 |
| 1295252856 | Kevin Ian Garibay I | Counselor | 11731 Telegraph Rd Ste G, Santa Fe Springs, CA 90670-6819 | 2017-08-24 |
| 1356623094 | Janet Frances Park | Counselor | 11731 Telegraph Rd Ste G, Santa Fe Springs, CA 90670-6819 | 2011-09-19 |
| 1326176785 | Patricia Amaya | Counselor | 11731 Telegraph Rd Ste G, Santa Fe Springs, CA 90670-6819 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588283279 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 11721 East Telegraph Road Unit I, Santa Fe Springs, CA 90670 | 2020-04-13 |
| 1487205563 | Jurrell Davis | Counselor | 16332 Marvene Dr., Santa Fe Springs, CA 90670 | 2019-09-20 |
| 1003370065 | Amber D Perez-riggins | Counselor | 11015 Bloomfiled Ave, Santa Fe Springs, CA 90670 | 2019-01-24 |
| 1154832749 | Los Angeles Center for Alcohol and Drug Abuse | Clinic/Center | 12580 Lakeland Road, Santa Fe Springs, CA 90670 | 2017-10-23 |
| 1518481001 | Cecilia Bueno | Case Manager/Care Coordinator | 11721 Telegraph Rd, Santa Fe Springs, CA 90670 | 2017-07-27 |
| 1447773148 | Richard Paige | Counselor | 10425 S. Painter Ave., Santa Fe Springs, CA 90670 | 2017-07-25 |
| 1326578709 | Mariah Patricia Ramirez | Counselor | 11741 Telegraph Rd Ste A-d, Santa Fe Springs, CA 90670 | 2017-06-18 |
| 1578947446 | Robynn Coleman | In Home Supportive Care | 10510 Maple Lane, Santa Fe Springs, CA 90670 | 2015-07-10 |
| 1003218314 | Norma Gonzalez | Case Manager/Care Coordinator | 11741 E. Telegraph Road, Santa Fe Springs, CA 90670 | 2014-09-17 |
| 1932510617 | Antonio Matinez Sr. | Rehabilitation Practitioner | 10012 Norwalk Blvd Suite 140, Santa Fe Springs, CA 90670 | 2014-05-15 |
| Find all providers in zip 90670 | ||||
| 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 |
|---|---|---|---|---|
| 1326489873 | Progressive Resources, Inc | Community/Behavioral Health | 9280 Santa Fe Springs Rd, Santa Fe Springs, CA 90670-2618 | 2013-07-12 |
| 1144536095 | L.u.n.a. Recovery | Community/Behavioral Health | 10400 Orr and Day Rd, Library, Santa Fe Springs, CA 90670-4161 | 2010-08-28 |
| 1275868267 | Pacific Clinics | Community/Behavioral Health | 11741 Telegraph Rd Ste A, B & C, Santa Fe Springs, CA 90670-3681 | 2009-10-08 |
| 1750500708 | Santa Fe Springs Neighborhood Center | Community/Behavioral Health | 9255 Pioneer Blvd, Santa Fe Springs, CA 90670-2380 | 2007-04-25 |
| 1023128485 | Pacific Clinics | Community/Behavioral Health | 11721 Telegraph Rd, Suite A, Santa Fe Springs, CA 90670-3674 | 2006-08-30 |
| 1376995530 | Institute for Family Centered Services Inc. | Community/Behavioral Health | 12631 Imperial Hwy, C103, Santa Fe Springs, CA 90670-4710 | 2016-07-11 |
| 1851729164 | Gus Velasco Neighborhood Center | Community/Behavioral Health | 9255 Pioneer Blvd, Santa Fe Springs, CA 90670-2380 | 2013-10-23 |
| 1134474760 | Los Angeles Centers for Alcohol and Drug Abuse | Community/Behavioral Health | 10400 Orr and Day Rd, Santa Fe Springs, CA 90670-4161 | 2012-07-19 |
| 1770719692 | Robert Anthony Marquez | Community/Behavioral Health | 11015 Bloomfield Ave, Santa Fe Springs, CA 90670-4601 | 2009-06-05 |
| 1801005764 | Pacific Clinics | Community/Behavioral Health | 11721 Telegraph Rd, Santa Fe Springs, CA 90670-3674 | 2007-05-21 |
| Find all providers in SANTA FE SPRINGS | ||||
| City | SANTA FE SPRINGS |
| Zip Code | 90670 |
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.