Active NPI
Pacific Healing and Wellness, Inc.
- Health Service Clinic/Center
- Los Alamitos, CA
National Provider Identifier
1104117647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- 2OA8212
- Legal business name
- PACIFIC HEALING AND WELLNESS, INC.
- Practice address
- 5242 Katella Ave
Suite 106
Los Alamitos, CA 90720-2820 - Phone
- (949) 214-8559
- NPI assigned
- May 2, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sandra L Goines, D.O.
- Title
- Ceo
- Phone
- (949) 214-8559
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | 2OA8212 | CA | Primary |
Addresses
Primary practice location
5242 Katella Ave
Suite 106
Los Alamitos, CA 90720-2820
Mailing address
5242 Katella Ave
Suite 106
Los Alamitos, CA 90720-2820
Phone (949) 214-8559
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0958868 | Pacific Healing and Wellness, Inc | Certificate of waiver | Mar 28, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1304294400000",
"number": "1104117647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5242 KATELLA AVE",
"address_2": "SUITE 106",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907202820",
"telephone_number": "949-214-8559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5242 KATELLA AVE",
"address_2": "SUITE 106",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907202820",
"telephone_number": "949-214-8559"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PACIFIC HEALING AND WELLNESS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-02",
"last_updated": "2011-05-02",
"status": "A",
"authorized_official_last_name": "GOINES",
"authorized_official_first_name": "SANDRA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "949-214-8559",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "CA",
"license": "2OA8212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Alamitos, CA
- Alexis Otoole
- P Emigh and T Emigh Dental Partnership a General Partnership
- Pacific Coast Ultrasound, Inc.
- Pacific Comprehensive Pain Management Inc
- Pacific Comprehensive Pain Management, Inc
- Pacific Neurology Consultants, Inc.
- Adrian Velasco Padilla
- Nelson Pai, DDS
- Jeannette Painovich, MA LAC
- Lawrence R Paletz, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.