Pacific Breast Care Medical Group, Inc.

Primary specialty

Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X

Legal business name

PACIFIC BREAST CARE MEDICAL GROUP, INC.

Practice address

1640 Newport Blvd Ste 200
Costa Mesa, CA 92627-3786

Phone

(949) 515-3544

Fax

(949) 706-6356

NPI assigned

May 24, 2007

Last updated

Nov 10, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alice M Police, MD

Title

President

Phone

(949) 515-3544

Specialties & licenses 2

Addresses

Other identifiers 2

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.

• Lynda L Frye, M.D.

  • Diagnostic Radiology Physician
  • Costa Mesa, CA
  • NPI 1639119274
  NPD (past)

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289347200000",
    "number": "1194936922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 NEWPORT BLVD STE 200",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273786",
            "telephone_number": "949-515-3544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 NEWPORT BLVD STE 200",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273786",
            "telephone_number": "949-515-3544",
            "fax_number": "949-706-6356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC BREAST CARE MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2010-11-10",
        "status": "A",
        "authorized_official_last_name": "POLICE",
        "authorized_official_first_name": "ALICE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-515-3544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RM1200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Magnetic Resonance Imaging (MRI)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARTICLES OF INCORPORATION",
            "identifier": "2944453",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE  FIC NAME",
            "identifier": "FNP35928",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Esmeralda Isabel Pacheco Alvarez
• Gisela Pacheco
• Nicole Evita Pacheco
• Pacific Breast Care Center
• Pacific Breast Care Center
• Pacific CDDC
• Pacific CDDC
• Pacific CDDC
• Pacific Coast Craniofacial and Pediatric Plastic Surgery Inc.
• Pacific Coast Mental Health LLC

• Diagnostic Ultrasound Physician in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Diagnostic Ultrasound Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; 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.