PACIFIC CLINICS (NPI# 1942342969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942342969 |
| Entity Type | Organization |
| Organization Name | PACIFIC CLINICS |
| Other Organization Name | PACIFIC CLINICS LAGUNA NIGUEL ADULT OP |
| Practice Address |
27822 El Lazo Laguna Niguel CA 92677-3915 |
| Mailing Address |
800 S Santa Anita Ave Arcadia CA 91006-6853 |
| Practice Telephone | 9493605810 |
| Mailing Telephone | 6262545000 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2010-03-05 |
| Authorized Official Name | SUSAN SHEARER (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 6262545000 |
| Authorized Official Credential | L.C.S.W. |
| 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 | 8087 | 05 | |
| CA | W279G | 05 |
| Other Name | Type Code |
|---|---|
| Pacific Clinics Laguna Niguel Adult OP | 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 |
27822 EL LAZO |
| City | LAGUNA NIGUEL |
| State | CA |
| Zip Code | 92677-3915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891840906 | Donita Mcniel | Technician | 27822 El Lazo, Laguna Niguel, CA 92677-3915 | 2007-01-25 |
| 1447306014 | Earnest Scott | Licensed Psychiatric Technician | 27822 El Lazo, Laguna Niguel, CA 92677-3915 | 2007-01-26 |
| 1841345964 | Tammy Allison | Rehabilitation Practitioner | 27822 El Lazo, Laguna Niguel, CA 92677-3915 | 2007-01-25 |
| 1154477289 | Marmar Zahabi | Counselor | 27822 El Lazo, Laguna Niguel, CA 92677-3915 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114566049 | Amber Kramer | Physical Therapist | 30100 Town Center Drive #yz, Laguna Niguel, CA 92677 | 2019-12-23 |
| 1811548340 | Morgan Peikar | Rehabilitation Hospital | 28441 Springfield Dr, Laguna Niguel, CA 92677 | 2019-09-25 |
| 1871056382 | Jacqueline Evamarie Serrano | Chiropractor | 28062 Forbes Road, Laguna Niguel, CA 92677 | 2019-04-11 |
| 1316408859 | Azadeh Ghafari | Social Worker | 30100 Town Center Dr # 179, Laguna Niguel, CA 92677 | 2019-03-27 |
| 1346741857 | Diana Wang | Physical Medicine & Rehabilitation | 30100 Town Center Drive Suite, Suite Yz, Laguna Niguel, CA 92677 | 2018-02-21 |
| 1750833554 | James H. Tran Dds, Dental Corp. | Dentist | 23876 Aliso Creek Road, Laguna Niguel, CA 92677 | 2016-10-27 |
| 1215486139 | Kevin Sun | Dentist | 49 Blue Horizon, Laguna Niguel, CA 92677 | 2016-10-04 |
| 1740637842 | Michael Dacosta | Dentist | 28862 Calle Vista, Laguna Niguel, CA 92677 | 2016-05-18 |
| 1235590373 | Adrian Gomez | Counselor | 24361 Nugget Falls Ln, Laguna Niguel, CA 92677 | 2016-03-17 |
| 1427455906 | Gracie Heart Home Health LLC | Home Health | 24318 El Pilar, Laguna Niguel, CA 92677 | 2014-11-26 |
| Find all providers in zip 92677 | ||||
| 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 |
|---|---|---|---|---|
| 1285112003 | Anneka Lauren Buehler | Community/Behavioral Health | 29351 Troon St, Laguna Niguel, CA 92677-1650 | 2018-08-02 |
| 1619344959 | Shanti Oc | Community/Behavioral Health | 24532 Los Serranos Dr, Laguna Niguel, CA 92677-2125 | 2015-08-21 |
| 1356701965 | Dr Susan Pazak Psychological Services | Community/Behavioral Health | 30131 Town Center Dr, Suite 280, Laguna Niguel, CA 92677-2034 | 2016-02-25 |
| 1952798472 | Integrated Behavioral Health Solutions | Community/Behavioral Health | 30100 Town Center Dr, O - 431, Laguna Niguel, CA 92677-2064 | 2015-04-22 |
| 1407181316 | Nicole Gerth | Community/Behavioral Health | 30011 Ivy Glenn Dr, Suite 221, Laguna Niguel, CA 92677-5014 | 2009-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881861 | Griselda Tuchan Pineda Marriage and Family Therapist Inc | Community/Behavioral Health | 2820 S Vermont Ave Ste 16, Los Angeles, CA 90007-2291 | 2020-11-04 |
| 1013518687 | Turning Point of Central California, Inc. | Community/Behavioral Health | 3636 N 1st St Ste 112, Fresno, CA 93726-6818 | 2020-11-02 |
| 1588264113 | Licensed Clinical Social Worker Community Alliance PC | Community/Behavioral Health | 301 S 23rd St, Richmond, CA 94804-2807 | 2020-11-01 |
| 1134729718 | Cynthia Felicia Delaney | Community/Behavioral Health | 4887 Bella Pacific Row Unit 240, San Diego, CA 92109-8515 | 2020-10-31 |
| 1114527637 | Clarke-lauren Stevenson Richard | Community/Behavioral Health | 1277 E Loma Linda Ave, Fresno, CA 93720-2668 | 2020-10-26 |
| 1891395232 | Jacqulyn Danielle Rios | Community/Behavioral Health | 4604 W Douglas Ave Apt 103, Visalia, CA 93291-4195 | 2020-10-26 |
| 1346849213 | Greystone Behavioral Health Nursing Inc | Community/Behavioral Health | 231 E Alessandro Blvd Ste A438, Riverside, CA 92508-5084 | 2020-10-22 |
| 1376142216 | Melissa Reyes Aguilar | Community/Behavioral Health | 2248 S Cochran Ave, Los Angeles, CA 90016-1218 | 2020-10-21 |
| 1578162616 | Bayfront Healthcare Services | Community/Behavioral Health | 2703 N Studebaker Rd, Long Beach, CA 90815-1628 | 2020-10-20 |
| 1326647686 | Sierra Child & Family Services | Community/Behavioral Health | 564 Mountain Ranch Rd Ste 5, San Andreas, CA 95249-9782 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
| City | LAGUNA NIGUEL |
| Zip Code | 92677 |
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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.