NPIMap

Organization Active NPI

Pacific Reproductive Services, Inc.

  • Family Nurse Practitioner
  • Pasadena, CA
National Provider Identifier
1053680306
Registry record updated Dec 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
470207 Issued in CA
Legal business name
PACIFIC REPRODUCTIVE SERVICES, INC.
Practice address
65 N Madison Ave
Suite 610
Pasadena, CA 91101-2035
Phone
(626) 432-1681
NPI assigned
Dec 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2011

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

Authorized official

Name
Stacey L Poston, RN, MSN, FNPNPI 1942417548
Title
Tissue Bank Director
Phone
(626) 432-1681

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X 470207 CA Primary
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X 574386 CA

Addresses

Primary practice location

65 N Madison Ave
Suite 610
Pasadena, CA 91101-2035

Mailing address

65 N Madison Ave
Suite 610
Pasadena, CA 91101-2035

National Provider Directory

National Provider Directory
Tax ID family
Pacific Reproductive Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

65 N Madison Ave
Ste 610
Pasadena, CA 91101
Phone (626) 432-1681

Practitioners & affiliated clinicians

Practitioners 2

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": "1323907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323907200000",
    "number": "1053680306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 N MADISON AVE",
            "address_2": "SUITE 610",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 N MADISON AVE",
            "address_2": "SUITE 610",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012035",
            "telephone_number": "626-432-1681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC REPRODUCTIVE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-15",
        "last_updated": "2011-12-15",
        "status": "A",
        "authorized_official_last_name": "POSTON",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "TISSUE BANK DIRECTOR",
        "authorized_official_telephone_number": "626-432-1681",
        "authorized_official_credential": "RN, MSN, FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "470207",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "574386",
            "primary": false
        }
    ],
    "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 Dec 15, 2011; 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.