Pacific Coast Care Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

070000130 Issued in CA

Legal business name

PACIFIC COAST CARE CENTER, LLC

Practice address

720 E Romie LN
Salinas, CA 93901-4208

Phone

(831) 424-8072

Fax

(831) 424-6329

NPI assigned

Jul 21, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Marilyn A. Weaver

Title

Assistant Secretary

Phone

(502) 596-7563

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kindred Nursing and Transitional Care-Pacific Coast Doing business as

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506556800000",
    "number": "1013937804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 S. 4TH STREET",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022407",
            "telephone_number": "502-596-7301",
            "fax_number": "502-596-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 E ROMIE LN",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014208",
            "telephone_number": "831-424-8072",
            "fax_number": "831-424-6329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC COAST CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2017-09-28",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "502-596-7563",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "070000130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR55090H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kindred Nursing and Transitional Care-Pacific Coast",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Douglas H Owyang, MD
• Hailey Oyoque
• Guguamobi Onyinye Ozoigbo, M.D.
• Ernesto Pacheco
• Maiya Pacheco
• Pacific Coast Drug Co.Inc.
• Pacific Medical, Inc.
• Pacifica Behavioral Health
• Eduardo Padilla Vidal
• Ana Padilla

• Skilled Nursing Facility in Salinas, CA
• Providers in Salinas, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2017; 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.