Pacific West Specialties, LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

PACIFIC WEST SPECIALTIES, LLC

Practice address

101 E Redlands Blvd Ste 212
Redlands, CA 92373-4724

Phone

(909) 335-8649

Fax

(909) 335-1994

NPI assigned

Jul 12, 2006

Organization subpart

No

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

Authorized official

Name

Edward Rotan

Title

C.F.O.

Phone

(909) 335-8649

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023043551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11525",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924231525",
            "telephone_number": "909-335-8649",
            "fax_number": "909-335-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E REDLANDS BLVD STE 212",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734724",
            "telephone_number": "909-335-8649",
            "fax_number": "909-335-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC WEST SPECIALTIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROTAN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "C.F.O.",
        "authorized_official_telephone_number": "909-335-8649"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia L Pacheco, AGACNP
• Pacific Inland Care Inc.
• Pacific Rehab, Inc.
• Pacific Sleep Medicine Services, Inc.
• Pacific Sleep Medicine, a Medical Corporation
• Nicole Packwood, PT, DPT
• Arleth Pamela Padilla-Flores, ACSW
• Madeline Padron, OD
• Ramdas G. Pai, M.D.
• Pain Solutions Medical Massage, Inc.

• Diagnostic Radiology Physician in Redlands, CA
• Providers in Redlands, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.