PACIFIC CLINICS (NPI# 1871819813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871819813 |
| Entity Type | Organization |
| Organization Name | PACIFIC CLINICS |
| Practice Address |
1717 Orangewood Orange CA 92687 |
| Practice Telephone | 7147128340 |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2010-04-15 |
| Authorized Official Name | KATY WELLS (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 7147128340 |
| Is Organization Subpart | Y |
| Parent Organization Name | PACIFIC CLINICS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| 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 |
| 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 |
| 1033307160 | Pacific Clinics | Community/Behavioral Health | 240 N Cerritos Ave, Azusa, CA 91702-3733 | 2007-10-15 |
| 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 |
1717 ORANGEWOOD |
| City | ORANGE |
| State | CA |
| Zip Code | 92687 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386746 | Medlab2020 Inc | Clinical Medical Laboratory | 1594 N Main St, Orange, CA 92867-3443 | 2020-11-05 |
| 1548861081 | Temitope Akande | Nurse Practitioner | 557 Liberty St, Orange, NJ 07050-1275 | 2020-11-02 |
| 1629679188 | Long Island Senior Care LLC | In Home Supportive Care | 106 Elm St Apt 2, Orange, NJ 07050-4056 | 2020-11-02 |
| 1982203568 | Gautami Polepally Ashok | Psychologist | 1234 W Chapman Ave Ste 203, Orange, CA 92868-2863 | 2020-10-23 |
| 1073112744 | Carefree Home Care | In Home Supportive Care | 850 E Chapman Ave Ste A, Orange, CA 92866-1649 | 2020-10-22 |
| 1649879024 | Jacie Layne Smith-hyatt | Speech-Language Pathologist | 269 County Road 4185, Orange, TX 77632-8620 | 2020-10-18 |
| 1396343927 | Prohealth Medical Transport LLC | Non-emergency Medical Transport (VAN) | 369 W Pebble Creek Ln, Orange, CA 92865-1096 | 2020-10-15 |
| 1013514314 | Ali Shishehgar | Pharmacist | 132 S Anita Dr Ste 310, Orange, CA 92868-3317 | 2020-10-08 |
| 1184221822 | Amando Cruz Martin Jr. | Pharmacist | 132 S Anita Dr Fl 2, Orange, CA 92868-3317 | 2020-10-06 |
| 1205433810 | Tony Hieu La | Pharmacist | 132 S Anita Dr Ste 210, Orange, CA 92868-3317 | 2020-10-06 |
| Find all providers in ORANGE | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568644409 | Maria R Ostheimer | Rehabilitation Practitioner | 1717 W Orangewood Ave Ste I, Orange, CA 92868-2040 | 2007-12-03 |
| 1437609195 | Kathleen Brown | Rehabilitation Practitioner | 1855 W Katella Ave, Suite 150, Orange, CA 92867-3451 | 2016-10-06 |
| 1447636873 | Lizbeth Esparza | Rehabilitation Practitioner | 301 The City Dr S, Orange, CA 92868-3205 | 2015-08-07 |
| 1821315888 | Christina Louise Thomas | Rehabilitation Practitioner | 1717 W Orangewood Ave Ste I, Orange, CA 92868-2040 | 2010-04-29 |
| 1841522810 | Shana Castellanos | Rehabilitation Practitioner | 801 E. Chapman Ave, Crittenton Services, Orange, CA 92866 | 2010-02-02 |
| 1124354089 | William Be | Rehabilitation Practitioner | 1717 W Orangewood Ave, Orange, CA 92868-2040 | 2009-10-28 |
| 1184857724 | Joseph J Palau | Rehabilitation Practitioner | 1717 W Orangewood Ave, #1, Orange, CA 92868-2040 | 2009-08-31 |
| 1972735397 | Melissa Infante | Rehabilitation Practitioner | 1937 W Chapman Ave Ste 220, Orange, CA 92868-2633 | 2009-08-18 |
| 1225208796 | Tanya Smith | Rehabilitation Practitioner | 1717 W Orangewood Ave, Suite I, Orange, CA 92868-2040 | 2008-03-11 |
| 1376713057 | William D Gonzalez | Rehabilitation Practitioner | 1717 W Orangewood Ave, Suite I, Orange, CA 92868-2040 | 2008-03-10 |
| Find all providers in ORANGE | ||||
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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.