Pacifica Home Care III

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PACIFICA HOME CARE III

Practice address

24141 Roma Dr
Mission Viejo, CA 92691-3849

Phone

(949) 874-8777

NPI assigned

Aug 10, 2024

Last updated

Aug 10, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Luis Lucero

Title

Licensee

Phone

(949) 874-8777

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1723248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723248000000",
    "number": "1093546111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24141 ROMA DR",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926913849",
            "telephone_number": "949-874-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24141 ROMA DR",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926913849",
            "telephone_number": "949-874-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFICA HOME CARE III",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-10",
        "last_updated": "2024-08-10",
        "certification_date": "2024-08-10",
        "status": "A",
        "authorized_official_last_name": "LUCERO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "949-874-8777"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Hospitalist Associates a Medical Corporation
• Pacific Pediatric Therapy
• Pacific Solstice Integrative Clinic
• Pacific Solstice LLC
• Pacific Sun Senior Care (Oaktree Manor)
• Pacifica Home Care LLC
• David M Packard, MD
• Clark Stuart Paddock, M.D.
• Padideh Shafiei, DMD (Mission Viejo Dental)
• Mehri Pahlavani, CRNA

• Assisted Living Facility in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.