PCH Healthcare

Primary specialty

Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X

Legal business name

PCH HEALTHCARE

Practice address

326 Old Newport Blvd
Newport Beach, CA 92663-4121

Phone

(949) 335-8802

NPI assigned

Sep 27, 2021

Organization subpart

No

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

Authorized official

Name

Indigo Allendorf

Title

Executive Director

Phone

(657) 422-7586

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632700800000",
    "number": "1205507415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 OLD NEWPORT BLVD",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 OLD NEWPORT BLVD",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634121",
            "telephone_number": "949-335-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCH HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-27",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-22",
        "status": "A",
        "authorized_official_last_name": "ALLENDORF",
        "authorized_official_first_name": "INDIGO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "657-422-7586"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc L Paulsen, M.D.
• Natasha Pavlovich
• Keyian Z Paydar, MD
• Mariana Paz Melendez
• Johnathan Edward Paz
• Sara Peacock
• Laurence B Pearl, M.D.
• Daryl P Pearlstein, MD
• Barbi Pecenco
• Aaron Peck

• Addiction Medicine (Internal Medicine) Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Addiction Medicine (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.