Casa Pacifica

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

MFC29100 Issued in CA

Legal business name

CASA PACIFICA

Practice address

1722 Lewis Rd
268
Camarillo, CA 93012-0234

Phone

(805) 445-7800

Fax

(805) 987-0258

NPI assigned

Nov 18, 2015

Organization subpart

Yes

Parent organization

YESAs reported in NPPES

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

Authorized official

Name

Mrs. Heather None Campbell

Title

Adminastration

Phone

(805) 445-7800

Specialties & licenses 3

Addresses

Other names 1

• private practice Doing business as

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447804800000",
    "number": "1134593833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 S LEWIS RD",
            "address_2": "NONE",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930128520",
            "telephone_number": "805-445-7800",
            "fax_number": "805-987-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 LEWIS RD",
            "address_2": "268",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930120234",
            "telephone_number": "805-445-7800",
            "fax_number": "805-987-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA PACIFICA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YES",
        "enumeration_date": "2015-11-18",
        "last_updated": "2015-11-18",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "NONE",
        "authorized_official_title_or_position": "ADMINASTRATION",
        "authorized_official_telephone_number": "805-445-7800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "CA",
            "license": "MFC29100",
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "CA",
            "license": "MFC2900",
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "CA",
            "license": "MFC29100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "private practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tracy Jean Carroll
• Clay Carter
• Stephen Carter, M.D.
• Julie Carton
• Thomas Devereux Carver, MFT
• Casa Pacifica Centers for Children and Families
• Casa Pacifica Centers for Children and Families
• Casa Pacifica Centers for Children and Families
• Casa Pacifica Centers for Children and Families
• Casa SRF Opco II LLC

• Mental Illness Community Based Residential Treatment Facility in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Mental Illness Community Based Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; 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.