NPIMap

Organization Active NPI

Pacific Clinics

  • Community/Behavioral Health Agency
  • Irwindale, CA
National Provider Identifier
1013052075
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PACIFIC CLINICS
Practice address
13177 Ramona Blvd
Suite C
Irwindale, CA 91706-3855
Phone
(626) 960-4020
Fax
(626) 814-0221
NPI assigned
Feb 20, 2007
Last updated
Jan 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Authorized official

Name
Alma Romero
Title
Ass Director of Claims Processing
Phone
(626) 463-1021

Specialties & licenses 1

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

Addresses

Primary practice location

13177 Ramona Blvd
Suite C
Irwindale, CA 91706-3855

Mailing address

800 S Santa Anita Ave
Arcadia, CA 91006-6853
Phone (626) 254-5000

Other identifiers 1

IdentifierTypeStateIssuer
HOUSING PROGRAMMedicaidCA

Other names 1

  • Pacific Clinics Housing Program Other name

National Provider Directory

National Provider Directory
Tax ID family
Pacific Clinics40 organizations share this tax ID, including this one

Other organizations with this tax ID 39

Organizations that report the same tax identification number in the National Provider Directory.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641945600000",
    "number": "1013052075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S SANTA ANITA AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910066853",
            "telephone_number": "626-254-5000",
            "fax_number": "626-294-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13177 RAMONA BLVD",
            "address_2": "SUITE C",
            "city": "IRWINDALE",
            "state": "CA",
            "postal_code": "917063855",
            "telephone_number": "626-960-4020",
            "fax_number": "626-814-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2022-01-12",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "ROMERO",
        "authorized_official_first_name": "ALMA",
        "authorized_official_title_or_position": "ASS DIRECTOR OF CLAIMS PROCESSING",
        "authorized_official_telephone_number": "626-463-1021"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HOUSING PROGRAM",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Clinics Housing Program",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Pacific Clinics Housing Program",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Irwindale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.