NPIMap

Organization Active NPI

Pacific Clinics

  • Community/Behavioral Health Agency
  • San Jose, CA
National Provider Identifier
1104600634
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PACIFIC CLINICS
Practice address
1302 N 4TH St
San Jose, CA 95112-4713
Phone
(408) 379-3790
NPI assigned
Aug 24, 2023
Last updated
Aug 24, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
PACIFIC CLINICSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Authorized official

Name
Kathryn McCarthy
Title
Chief Executive Officer / President
Phone
(408) 379-3790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1302 N 4TH St
San Jose, CA 95112-4713

Mailing address

251 Llewellyn Ave
Campbell, CA 95008-1940

National Provider Directory

National Provider Directory
Tax ID family
JDT Consultants123 organizations share this tax ID, including this one
Part of
JDT Consultants

Organizations with this tax ID in the same state 23

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 23

Locations

1302 N 4th St
San Jose, CA 95112
Phone (408) 379-3796

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1104600634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 LLEWELLYN AVE",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950081940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 N 4TH ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951124713",
            "telephone_number": "408-379-3790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC CLINICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PACIFIC CLINICS",
        "enumeration_date": "2023-08-24",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER / PRESIDENT",
        "authorized_official_telephone_number": "408-379-3790"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.