Organization Active NPI

Pacifica Health and Medicine Inc.

  • Internal Medicine Physician
  • Modesto, CA
National Provider Identifier
1255188330
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Authorized official

Name
Sahiba Bajwa, MDNPI 1346869567
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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.