Pacific Adhc Inc.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

060000692 Issued in CA

Legal business name

PACIFIC ADHC INC.

Doing business as

Pacific ADHC

Practice address

16861 Parthenia St
Northridge, CA 91343-4539

Phone

(818) 776-8700

Fax

(818) 776-8789

NPI assigned

Aug 10, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Chae Wang Kim

Title

Ceo

Phone

(818) 776-8700

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Pacific ADHC Doing business as

Locations

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1124210497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16861 PARTHENIA ST",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913434539",
            "telephone_number": "818-776-8700",
            "fax_number": "818-776-8789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16861 PARTHENIA ST",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913434539",
            "telephone_number": "818-776-8700",
            "fax_number": "818-776-8789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC ADHC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "CHAE WANG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-776-8700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": "060000692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ADV70259G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific ADHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mehmet H Ozgur, MD
• Ali Ozhand, M.D.
• Partice Pace
• Ana Isabel Pacheco
• Natalie Pacheco
• Pacific Anesthesia Medical Associates Inc.
• Pacific Mobile Care Inc
• Pacific Pain Center LLC
• Pacific Pharmacy Group (Porter Ridge Pharmacy)
• Pacifica Devonshire LLC (The Gardens at Northridge)

• Adult Day Care Clinic/Center in Northridge, CA
• Providers in Northridge, CA by specialty
• Adult Day Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.