Pacific Coast Referral Services

Primary specialty

Supports Brokerage AgencyTaxonomy code 251X00000X

License

041080-07 Issued in CA

Legal business name

PACIFIC COAST REFERRAL SERVICES

Practice address

355 3Rd Ave
Suite a
Chula Vista, CA 91910-3961

Phone

(619) 425-8826

Fax

(619) 425-8297

NPI assigned

Jun 18, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Uvistano Nmi Lucatero

Title

Partner

Phone

(619) 425-8826

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023213394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 3RD AVE",
            "address_2": "SUITE A",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919103961",
            "telephone_number": "619-425-8826",
            "fax_number": "619-425-8297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 3RD AVE",
            "address_2": "SUITE A",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919103961",
            "telephone_number": "619-425-8826",
            "fax_number": "619-425-8297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC COAST REFERRAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUCATERO",
        "authorized_official_first_name": "UVISTANO",
        "authorized_official_middle_name": "NMI",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "619-425-8826",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": "CA",
            "license": "041080-07",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evette Pablo
• Tatyana Monique Pablo
• Marissa Pacheco, FNP-C
• Pacific Coast at Maria Way Corp
• Pacific Coast Interpreters, Inc.
• Pacific Pointe
• Pacific Rim Pathology Medical Corporation
• Pacifica Bonita LP
• Alyssa Teresa Pack
• John C Pack, OD

• Supports Brokerage Agency in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Supports Brokerage Agency 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.