Susana Pacheco

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

3371 Parker Hill Rd
Santa Rosa, CA 95404-1732

Phone

(707) 535-0289

NPI assigned

Oct 29, 2024

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1114749371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3371 PARKER HILL RD",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954041732",
            "telephone_number": "707-535-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3371 PARKER HILL RD",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954041732",
            "telephone_number": "707-535-0289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3031 C St",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958163326",
            "country_code": "US",
            "telephone_number": "916-442-2396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "SUSANA",
        "sole_proprietor": "NO",
        "sex": "U",
        "enumeration_date": "2024-10-29",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Ozbirn
• Cheryl A Pabros, LVN
• Sari Lynne Pace
• Ana L Pacheco Clark, MD
• Maria V Pacheco, N.P.
• Tema Hlynn Pacheco, RN
• Pacific Medical, Inc.
• Sarah Pack
• Robert Francis Pactol
• Fatima Del Pilar Padilla Rios, DDS

• Community Health Worker in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.