Pacifica Care Center, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

220000035 Issued in CA

Legal business name

PACIFICA CARE CENTER, INC.

Doing business as

PACIFICA NURSING AND REHABILITATION CENTER

Practice address

385 Esplanade
Pacifica, CA 94044-1882

Phone

(650) 993-5576

NPI assigned

Dec 7, 2005

Organization subpart

No

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

Authorized official

Name

Marc Johnson

Title

Cfo

Phone

(949) 373-8373

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PACIFICA NURSING AND REHABILITATION CENTER Doing business as

Locations

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1013992510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25910 ACERO STE 350",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926917908",
            "telephone_number": "949-441-9258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 ESPLANADE",
            "city": "PACIFICA",
            "state": "CA",
            "postal_code": "940441882",
            "telephone_number": "650-993-5576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFICA CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-07",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "949-373-8373"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "220000035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC06205H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PACIFICA NURSING AND REHABILITATION CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PACIFICA NURSING AND REHABILITATION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Enna Ruth Opreanu O'Donnell, LMFT
• Oceanside Healing LLC
• Dayana Gisselle Orellana Sanchez
• Frida Sofia Ortiz-Blandon, M.S., CCC-SLP
• Pacific Neurohealth, a Psychological Corporation
• Pacifica Linda Mar Inc.
• Pacifica Orthodontics
• Pacifica School District
• Pacifica Sun Optometry Inc
• Babette Marie Pagliaro-Jimenez

• Skilled Nursing Facility in Pacifica, CA
• Providers in Pacifica, 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 Apr 5, 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.