Active NPI
Pacifica Infusion Services, LLC
- Home Infusion Agency
- Palmdale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Agency
- Legal business name
- PACIFICA INFUSION SERVICES, LLC
- Practice address
- 38660 Medical Center Dr Ste A130
Palmdale, CA 93551-4385 - Phone
- (661) 506-1861
- Fax
- (661) 506-1771
- NPI assigned
- Apr 15, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Williams
- Title
- Owner
- Phone
- (424) 234-9329
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Infusion Agency | 251F00000X | Primary | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | |||
| Pharmacy | 333600000X | |||
| Compounding Pharmacy | 3336C0004X | |||
| Home Infusion Therapy Pharmacy | 3336H0001X |
Addresses
Primary practice location
38660 Medical Center Dr Ste A130
Palmdale, CA 93551-4385
Mailing address
38660 Medical Center Dr Ste A130
Palmdale, CA 93551-4385
Phone (661) 506-1861
Other names 1
- Vital Care of Palmdale
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260609000132 | CA | DME Supplier - Pharmacy | 9436620671 | Practice locations: Palmdale, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Vital Care of Palmdale | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Oral Antiemetic Drugs|External Infusion Pumps and/or Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|Parenteral Nutrients|Parenteral Equipment and/or Supplies | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
38660 Medical Center Dr
Ste A130
Palmdale, CA 93551
Phone (661) 273-7100
38660 Medical Center Dr
Ste A13
Palmdale, CA 93551
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Bakersfield, CA
- NPI 1154870301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782691200000",
"number": "1003602350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38660 MEDICAL CENTER DR STE A130",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935514385",
"telephone_number": "661-506-1861",
"fax_number": "661-506-1771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38660 MEDICAL CENTER DR STE A130",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935514385",
"telephone_number": "661-506-1861",
"fax_number": "661-506-1771"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PACIFICA INFUSION SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-15",
"last_updated": "2026-06-29",
"certification_date": "2026-06-29",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "424-234-9329"
},
"taxonomies": [
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": null,
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Vital Care of Palmdale",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Vital Care of Palmdale",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Palmdale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.