NPIMap

Organization Active NPI

Pacific Clinics Children/Family Speciality PC

  • Case Manager/Care Coordinator
  • Pasadena, CA
National Provider Identifier
1043876113
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
PACIFIC CLINICS CHILDREN/FAMILY SPECIALITY PC
Practice address
1460 N Lake Ave Ste 101
Pasadena, CA 91104-2300
Phone
(323) 346-9328
NPI assigned
May 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2019

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

Authorized official

Name
Jorge CastroNPI 1831756931
Title
Mental Health Worker
Phone
(323) 346-9328

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

1460 N Lake Ave Ste 101
Pasadena, CA 91104-2300

Mailing address

1460 N Lake Ave Ste 101
Pasadena, CA 91104-2300

National Provider Directory

National Provider Directory

Locations

1460 N Lake Ave
Ste 101
Pasadena, CA 91104
Phone (626) 255-3490

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557792000000",
    "number": "1043876113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 N LAKE AVE STE 101",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911042300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 N LAKE AVE STE 101",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911042300",
            "telephone_number": "323-346-9328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC CLINICS CHILDREN/FAMILY SPECIALITY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-14",
        "last_updated": "2019-05-14",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "MENTAL HEALTH WORKER",
        "authorized_official_telephone_number": "323-346-9328"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; 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.