PACIFIC CLINICS (NPI# 1962602839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962602839 |
| Entity Type | Organization |
| Organization Name | PACIFIC CLINICS |
| Other Organization Name | PACIFIC CLINICS MAGNOLIA PARK |
| Practice Address |
827 N Avon St Burbank CA 91505-2916 |
| Mailing Address |
800 S Santa Anita Ave Arcadia CA 91006-6853 |
| Practice Telephone | 8185584677 |
| Practice Fax Number | 8188488137 |
| Mailing Telephone | 6262545000 |
| Mailing Fax Number | 6262941077 |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2012-02-03 |
| Authorized Official Name | DR. SUSAN MANDEL (PRESIDENT/CEO) |
| Authorized Official Telephone | 6262545000 |
| Authorized Official Credential | PHD |
| 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 | 7703 | 05 |
| Other Name | Type Code |
|---|---|
| Pacific Clinics Magnolia Park | 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 |
827 N AVON ST |
| City | BURBANK |
| State | CA |
| Zip Code | 91505-2916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023625035 | K and S Hospice Inc | Hospice Care, Community Based | 4100 W Alameda Ave Fl 3, Burbank, CA 91505 | 2020-09-24 |
| 1013542471 | Jami Stehlin | Nurse Practitioner | 501 S. Buena Vista St. 3ne, Burbank, CA 91505 | 2020-03-06 |
| 1497309033 | Ibrahim Lala | Pharmacist | 181 S. Buena Vista St, Burbank, CA 91505 | 2019-08-01 |
| 1720501240 | Jung H Li | Registered Nurse | Psjmc- Bariatric Wellness Center, 501 S Buena Vista St, Burbank, CA 91505 | 2017-07-18 |
| 1699204974 | Beth Ellen Izbotsky | Physical Medicine & Rehabilitation | 501 S Buena Vista Blvd, Burbank, CA 91505 | 2017-06-08 |
| 1205387446 | Fabiola Bachman | Dentist | 138 N Pass Ave, 2, Burbank, CA 91505 | 2016-10-24 |
| 1114478203 | Marianna Ghularyan D.d.s. Inc | Dentist | 1400 N. Edison Blvd., Burbank, CA 91505 | 2016-10-24 |
| 1962952127 | Landa Mizin Dental Partnership | Dentist | 2625 W Alameda Ave Ste 502, Burbank, CA 91505 | 2016-10-11 |
| 1285183376 | Amy Di Francia | Marriage & Family Therapist | 4421 W Riverside Dr Ste 210, Burbank, CA 91505 | 2016-09-29 |
| 1306238381 | Abigail Merrin | Physical Therapist | 2701 W Alameda Ave Ste 206, Burbank, CA 91505 | 2015-02-26 |
| Find all providers in zip 91505 | ||||
| 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 |
|---|---|---|---|---|
| 1013451970 | Best Translation | Community/Behavioral Health | 7756 Via Catalina, Burbank, CA 91504-1111 | 2016-12-13 |
| 1730505348 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 2120 N Maple St, Burbank, CA 91505 | 2014-03-07 |
| 1811313422 | Anka Hehavioral Health, Inc. | Community/Behavioral Health | 3318 W Wyoming Ave, Burbank, CA 91505 | 2014-03-07 |
| 1952598930 | Absolute Control Transitional Counseling Center, Inc. | Community/Behavioral Health | 3111 Winona Ave. # 201, Burbank, CA 91504 | 2007-10-03 |
| 1992823850 | Olive Crest Treatment Ctr. | Community/Behavioral Health | 710 S Victory Blvd, Suite 201, Burbank, CA 91502-2425 | 2007-03-27 |
| 1194369603 | Valley Psychological Health | Community/Behavioral Health | 4444 W Riverside Dr Ste 307, Burbank, CA 91505-4048 | 2019-10-29 |
| 1760925101 | Thrive Family Counseling, A Professional Corporation | Community/Behavioral Health | 4405 W Riverside Dr, Suite 209, Burbank, CA 91505-4072 | 2016-12-01 |
| 1730570888 | Stephen J. Smith | Community/Behavioral Health | 356 E Olive Ave, Ste 118, Burbank, CA 91502-1222 | 2015-02-11 |
| 1316212269 | Motivational Recovery Services, Inc. | Community/Behavioral Health | 1130 W Olive Ave, Burbank, CA 91506-2214 | 2012-03-11 |
| 1265741581 | Illumination Geriatric Consultation and Counseling Services | Community/Behavioral Health | 1832 Scott Rd, Burbank, CA 91504-3819 | 2010-10-04 |
| Find all providers in BURBANK | ||||
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.