Organization Active NPI

Pacific Healing and Wellness, Inc.

  • Health Service Clinic/Center
  • Los Alamitos, CA
National Provider Identifier
1104117647
Registry record updated May 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
2OA8212 Issued in CA
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

Updated by the provider on May 2, 2011

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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0958868Pacific Healing and Wellness, Inc5242 Katella Avenue Suite 106, Los Alamitos, CA 90720Certificate of waiverMar 28, 2027

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.