PACIFIC CLINICS (NPI# 1952439937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952439937 |
Entity Type | Organization |
Organization Name | PACIFIC CLINICS |
Other Organization Name | PACIFIC CLINICS FOCUS POINT |
Practice Address |
3126 Glenrose Ave Altadena CA 91001-4328 |
Mailing Address |
800 S Santa Anita Ave Arcadia CA 91006-6853 |
Practice Telephone | 6262969812 |
Practice Fax Number | 6262969818 |
Mailing Telephone | 6262545000 |
Mailing Fax Number | 6262941077 |
Enumeration Date | 2007-03-01 |
Last Update Date | 2016-07-22 |
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 | 7914A | 05 |
Other Name | Type Code |
---|---|
Pacific Clinics Focus Point | 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 |
3126 GLENROSE AVE |
City | ALTADENA |
State | CA |
Zip Code | 91001-4328 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326593211 | Pasadena Unified School District | Local Education Agency (LEA) | 3126 Glenrose Ave, Altadena, CA 91001-4328 | 2016-08-20 |
1487039954 | Michael Jermaine Andrews | Student in an Organized Health Care Education/Training Program | 3126 Glenrose Ave, Altadena, CA 91001-4328 | 2015-07-27 |
1558703496 | Jocelyn Marie Guzman | Rehabilitation Practitioner | 3126 Glenrose Ave, Altadena, CA 91001-4328 | 2013-07-19 |
1922331727 | Veronica Murphy | Rehabilitation Practitioner | 3126 Glenrose Ave, Altadena, CA 91001-4328 | 2009-09-10 |
1710125786 | Jaime Emmanuel Fajardo | Licensed Vocational Nurse | 3126 Glenrose Ave, Altadena, CA 91001-4328 | 2009-01-29 |
1285890210 | Amber Lane | Licensed Vocational Nurse | 3126 Glenrose Ave, Altadena, CA 91001-4328 | 2008-07-30 |
1568589216 | Sheila M. Martin | Marriage & Family Therapist | 3126 Glenrose Ave, #210, Altadena, CA 91001-4328 | 2007-03-26 |
1942332770 | Kellie Montgomery | Marriage & Family Therapist | 3126 Glenrose Ave, Altadena, CA 91001-4328 | 2007-03-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518455302 | Pax House Inc. | Clinic/Center | 2052 Lake Ave Ste F, Altadena, CA 91001 | 2018-04-26 |
1629592506 | Alfredo Manuel Mercado Jr. | Rehabilitation Practitioner | Tobinworld Mental Health, 920 E Boradway Street, Glendale, CA 91001 | 2017-08-01 |
1477000909 | Christopher Harris Jr. | Case Manager/Care Coordinator | 856 Figueroa Dr, Altadena, CA 91001 | 2016-09-01 |
1669825535 | Ridgeview Drive Ranch, LLC | Substance Abuse Rehabilitation Facility | 3323 Marengo Ave, Altadena, CA 91001 | 2016-07-15 |
1962864363 | Laura Peterson | Internal Medicine | 2225 Midwick Dr, Altadena, CA 91001 | 2016-03-24 |
1750741484 | Greta Francine Johnson | Psychiatry & Neurology | 800 S. Barranca, Covina, CA 91001 | 2016-02-23 |
1205211463 | Oscar Morales Aguirre | Licensed Vocational Nurse | 2145 North Marengo Ave, Altadena, CA 91001 | 2015-07-29 |
1811308703 | Growing Pains Individual, Family, and Couples Theraputic Services | Community/Behavioral Health | 29b Altadena Drive, Altadena, CA 91001 | 2014-05-13 |
1851727325 | Jennifer Sue-rurng Chen | Student in an Organized Health Care Education/Training Program | 2046 North Allen Avenue, Altadena, CA 91001 | 2013-09-17 |
1124366406 | Ridgeview Drive Ranch, LLC | Clinic/Center | 741 W Woodbury Rd, Altadena, CA 91001 | 2013-01-22 |
Find all providers in zip 91001 |
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 |
---|---|---|---|---|
1588194344 | Bourne Inc | Community/Behavioral Health | 2235 Lake Ave Ste 212, Altadena, CA 91001-6041 | 2017-06-14 |
1811308703 | Growing Pains Individual, Family, and Couples Theraputic Services | Community/Behavioral Health | 29b Altadena Drive, Altadena, CA 91001 | 2014-05-13 |
1528386935 | D'veal Family and Youth Services | Community/Behavioral Health | 743 E Calaveras St, Altadena, CA 91001-2332 | 2010-05-10 |
1881723443 | Optimist Youth Home and Ranch, Inc. | Community/Behavioral Health | 126 E Palm St, Altadena, CA 91001-4824 | 2007-03-02 |
1932574597 | Ballsbridge Academy Inc Behavior and Education Center | Community/Behavioral Health | 1031 Alpine Villa Dr, Altadena, CA 91001-1404 | 2015-12-08 |
1962825265 | D'veal Family and Youth Services | Community/Behavioral Health | 743 E Calaveras St, Altadena, CA 91001-2332 | 2014-01-23 |
1841519055 | Hathway Sycamores Child and Family Services | Community/Behavioral Health | 2933 El Nido Dr, Altadena, CA 91001-4529 | 2010-05-27 |
1164740577 | D'veal Family and Youth Services | Community/Behavioral Health | 2046 Allen Ave, Altadena, CA 91001-3424 | 2010-05-10 |
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 |
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.