Active NPI
Pacifica Health and Medicine Inc.
- Internal Medicine Physician
- Modesto, CA
National Provider Identifier
1255188330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- PACIFICA HEALTH AND MEDICINE INC.
- Practice address
- 3600 Sisk Rd., BLDG. 3, Ste. 4
Modesto, CA 95356 - Phone
- (209) 707-2029
- Fax
- (949) 437-3046
- NPI assigned
- May 6, 2024
- Last updated
- May 6, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sahiba Bajwa, MD
- Title
- Owner
- Phone
- (650) 402-8643
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Psychiatry Physician | 2084P0800X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
3600 Sisk Rd., BLDG. 3, Ste. 4
Modesto, CA 95356
Mailing address
3600 Sisk Rd., BLDG. 3, Ste. 4
Modesto, CA 95356
Phone (209) 707-2029
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Internal Medicine Physician
- Saint Helena, CA
- NPI 1346869567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714953600000",
"number": "1255188330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 SISK RD., BLDG. 3, STE. 4",
"city": "MODESTO",
"state": "CA",
"postal_code": "95356",
"telephone_number": "209-707-2029",
"fax_number": "949-437-3046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 SISK RD., BLDG. 3, STE. 4",
"city": "MODESTO",
"state": "CA",
"postal_code": "95356",
"telephone_number": "209-707-2029",
"fax_number": "949-437-3046"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PACIFICA HEALTH AND MEDICINE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-06",
"last_updated": "2024-05-06",
"certification_date": "2024-05-06",
"status": "A",
"authorized_official_last_name": "BAJWA",
"authorized_official_first_name": "SAHIBA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "650-402-8643",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- 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.