NPIMap

Organization Active NPI

Pacific Clinics

  • Community/Behavioral Health Agency
  • San Jose, CA
National Provider Identifier
1003645383
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PACIFIC CLINICS
Practice address
4 Wabash Ave
San Jose, CA 95128-1931
Phone
(408) 295-1814
NPI assigned
Jul 26, 2024
Last updated
Jul 26, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
PACIFIC CLINICSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kathryn McCarthy
Title
Chief Executive Officer / President
Phone
(408) 379-3790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

4 Wabash Ave
San Jose, CA 95128-1931

Mailing address

499 Loma Alta Ave
Los Gatos, CA 95030-6227

Other names 1

  • Pacific Clinics at Luther Burbank Elementary Other name

National Provider Directory

National Provider Directory
Tax ID family
Pacific Clinics123 organizations share this tax ID, including this one
Part of
Pacific Clinics

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

4 Wabash Ave
San Jose, CA 95128
Phone (408) 295-1814

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721952000000",
    "number": "1003645383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 LOMA ALTA AVE",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950306227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 WABASH AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281931",
            "telephone_number": "408-295-1814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC CLINICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PACIFIC CLINICS",
        "enumeration_date": "2024-07-26",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER / PRESIDENT",
        "authorized_official_telephone_number": "408-379-3790"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Clinics at Luther Burbank Elementary",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.