Pacific Clinics

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PACIFIC CLINICS

Practice address

3881 S Western Ave
Los Angeles, CA 90062-1105

Phone

(323) 290-4348

Fax

(323) 292-9220

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

James J. Balla

Title

President & Chief Executive Officer

Phone

(626) 254-5000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PC Portals Comm Connections Other name

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632355200000",
    "number": "1144357245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S SANTA ANITA AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910066853",
            "telephone_number": "626-254-5000",
            "fax_number": "626-294-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3881 S WESTERN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900621105",
            "telephone_number": "323-290-4348",
            "fax_number": "323-292-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A",
        "authorized_official_last_name": "BALLA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "626-254-5000"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7690",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PC Portals Comm Connections",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Pacific Asian Counseling Services
• Pacific Asian Counseling Services
• Pacific Asian Counseling Services
• Pacific Bay Naturopathic Healthcare
• Pacific Clinics
• Pacific Clinics
• Pacific Clinics
• Pacific Clinics
• Pacific Clinics
• Pacific Clinics

• Community/Behavioral Health Agency in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; 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.