PACIFIC CLINICS (NPI# 1902273923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902273923 |
| Entity Type | Organization |
| Organization Name | PACIFIC CLINICS |
| Other Organization Name | PACIFIC CLINICS ONTARIO |
| Practice Address |
2990 Inland Empire Blvd Suites 101 & 102 Ontario CA 91764-4899 |
| Mailing Address |
800 S Santa Anita Ave Arcadia CA 91006-3536 |
| Practice Telephone | 9099803427 |
| Practice Fax Number | 9099453426 |
| Mailing Telephone | 6262545000 |
| Enumeration Date | 2015-08-25 |
| 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 | 7932 | 05 |
| Other Name | Type Code |
|---|---|
| Pacific Clinics Ontario | 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 |
2990 INLAND EMPIRE BLVD SUITES 101 & 102 |
| City | ONTARIO |
| State | CA |
| Zip Code | 91764-4899 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740299577 | Veronica Arvizu Ramirez | Rehabilitation Counselor | 2990 Inland Empire Blvd, Ste. 101, Ontario, CA 91764-4899 | 2006-08-08 |
| 1922522044 | Valeria Campos | Counselor | 2990 Inland Empire Blvd, Ontario, CA 91764-4899 | 2017-07-31 |
| 1154774230 | Liesl Nell Park Heuer | Student in an Organized Health Care Education/Training Program | 2990 Inland Empire Blvd, Ontario, CA 91764-4899 | 2016-07-13 |
| 1710367289 | Allison Marcus | Counselor | 2990 Inland Empire Blvd, Ontario, CA 91764-4899 | 2015-05-31 |
| 1144516808 | Divina Emma Palomares | Counselor | 2990 Inland Empire Blvd, Suite 101, Ontario, CA 91764-4899 | 2011-06-21 |
| 1477884948 | Rebecca Ruth Evert | Rehabilitation Practitioner | 2990 Inland Empire Blvd, Suite 101, Ontario, CA 91764-4899 | 2010-01-23 |
| 1750617825 | Qudsia Sadiq | Chiropractor | 2990 Inland Empire Blvd, Suite #109, Ontario, CA 91764-4899 | 2009-10-26 |
| 1841443215 | Noretta Bithell | Rehabilitation Practitioner | 2990 Inland Empire Blvd, Suite 101, Ontario, CA 91764-4899 | 2008-10-29 |
| 1235339078 | Elizabeth Kristine Brenenstall | Social Worker | 2990 Inland Empire Blvd, Suite 101, Ontario, CA 91764-4899 | 2007-07-19 |
| 1255467171 | Pacific Clinics | Community/Behavioral Health | 2990 Inland Empire Blvd, #101/102, Ontario, CA 91764-4899 | 2007-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760096952 | Jacqueline Iriart | Behavior Technician | 2930 Inland Empire Blvd St 100, Ontario, CA 91764 | 2020-09-03 |
| 1306459573 | Loremari Samantha Mohr | Assistant Behavior Analyst | 4688 Ontario Mills Parkwar, Ontario, CA 91764 | 2020-08-28 |
| 1023629649 | Yazmin Ramos | Behavior Technician | 4688 Ontario Mills Pwky, Ontario, CA 91764 | 2020-08-17 |
| 1184234999 | Adoniram Morales | Behavior Technician | 4688 Ontatio Mills Parkway, Ontario, CA 91764 | 2020-08-06 |
| 1396395489 | Enhanced Sleep Solutions | Clinic/Center | 2990 E. Inland Empire Blvd. #105, Antonio, CA 91764 | 2019-09-19 |
| 1013561588 | Jaquelyn Herrera | Behavior Technician | 2151 E Convention Center Way Ste #103, Ontario, CA 91764 | 2019-08-01 |
| 1285287995 | Ha Tran Tsai Dental Corporation | Dentist | 1361 East 4th Street, Ontario, CA 91764 | 2019-07-22 |
| 1346702974 | Rocio Sandoval | Behavior Technician | 800 Ferrari Ln Ste 100, Ontario, CA 91764 | 2019-04-02 |
| 1275011678 | Jquana Lucille Dowdy | Behavior Technician | 2903 Inland Empire Blvd, Suite 101, Ontario, CA 91764 | 2018-07-30 |
| 1063917458 | Maria Veronica Heard | Specialist/Technologist | 740 E Princeton St, Ontario, CA 91764 | 2018-03-27 |
| Find all providers in zip 91764 | ||||
| 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 |
|---|---|---|---|---|
| 1376069815 | Valerie Maldonado | Community/Behavioral Health | 1645 N Humboldt Ave, Ontario, CA 91764-1437 | 2017-08-16 |
| 1578883906 | West End Family Counseling Service | Community/Behavioral Health | 1420 S Milliken Ave Ste 506&508, Ontario, CA 91761-2336 | 2010-06-08 |
| 1376707489 | Hope Counseling and Family Therapy, Inc. | Community/Behavioral Health | 4100 Jurupa St, Suite 108, Ontario, CA 91761-1420 | 2008-07-17 |
| 1457539785 | Foundation Services Group, Inc | Community/Behavioral Health | 372 Sw 1st Ave, Ontario, OR 97914-2734 | 2008-02-08 |
| 1093270332 | Savior's Faith Ministries | Community/Behavioral Health | 3401 Centre Lake Dr, Ontario, CA 91761-1201 | 2019-01-31 |
| 1891222659 | Lifeways, Inc | Community/Behavioral Health | 686 Nw 9th St, Ontario, OR 97914-1600 | 2017-05-11 |
| 1992175962 | Bilingual Family Counseling Services | Community/Behavioral Health | 317 W F St, Ontario, CA 91762-3205 | 2015-10-02 |
| 1982071627 | Mental Health Systems, Inc. | Community/Behavioral Health | 316 E E St, Ontario, CA 91764-3712 | 2015-08-28 |
| 1073780516 | Safe Haven Inc | Community/Behavioral Health | 372 Sw 1st Ave, Ontario, OR 97914-2734 | 2008-05-14 |
| 1942323563 | West End Family Counseling Service | Community/Behavioral Health | 855 N Euclid Ave, Ontario, CA 91762-2762 | 2007-04-09 |
| Find all providers in ONTARIO | ||||
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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.