Pacific Coast Congregate, LLC.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PACIFIC COAST CONGREGATE, LLC.

Practice address

390 Fulton St
Camarillo, CA 93010-6545

Phone

(818) 575-0075

NPI assigned

Oct 8, 2021

Organization subpart

No

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

Authorized official

Name

Mike Nazlikian

Title

Owner

Phone

(818) 575-0075

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1633651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633651200000",
    "number": "1013679844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 FULTON ST",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 FULTON ST",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106545",
            "telephone_number": "818-575-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC COAST CONGREGATE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-08",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A",
        "authorized_official_last_name": "NAZLIKIAN",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-575-0075"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Michael Pace, MD
• Onyx Onasin Pacheco
• Pacific Central Coast Health Centers
• Pacific Central Coast Health Centers
• Pacific Central Coast Health Centers
• Pacifica Dermatology
• Pacifica Institute of Cosmetic & Reconstructive Surgery Medical Group
• Scott W Packham, DDS
• Joselyn Lizabeth Padilla
• Matthew Page

• All providers in Camarillo, CA
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; 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.