Pacific Clinics
Organization Active NPI Community/Behavioral Health Agency · Campbell, CA
NPI 1255496105 · NPPES record last updated Apr 26, 2024
Key facts
- NPI
- 1255496105
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- PACIFIC CLINICS
- Practice address
- 251 Llewellyn Ave BLDG F-2
Campbell, CA 95008-1940 - Phone
- (408) 379-3790
- NPI assigned
- Dec 22, 2006
- Organization subpart
- No
Authorized official
- Name
- Kathryn McCarthy
- Title
- Chief Executive Officer / President
- Phone
- (408) 379-3790
Other NPIs on the same Medicare enrollment 24
Corporate family (same tax ID) 24
Practitioners 175
-
Norma R Aguilar, MD
-
Alicia Arambula, LMFT
-
Sara Benowitz, LCSW
-
Blair Nicole Broughton, LMFT
-
Amber Castro, MA
-
Shirui Chen, LPCC
-
Simon Chen, MD
-
Vivian Mo Chen, LCSW
-
John H Choe, PMNHP
-
Michael Choi, M.D.
-
Julia Davidoff, M.D.
-
Emily Gann, LCSW
-
Mehera Halliwell, M.D.
-
Gracie Ellen Jackson, PMHNP-BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220228001926 | CA | Part B Supplier - Clinic/Group Practice | 4082008420 |
Receives reassigned benefits from 155 practitioners 24 other NPIs on this enrollment Practice locations: Monrovia, CA; Pasadena, CA; Morgan Hill, CA; Pomona, CA; Rosemead, CA; San Jose, CA; Santa Fe Springs, CA; Los Angeles, CA… |
National Provider Directory
- Tax ID family
- Pacific Clinics
Locations
251 Llewellyn Ave
Bldg F2
Campbell, CA 95008
251 Llewellyn Ave
Bldg G
Campbell, CA 95008
Phone (669) 302-9731
902 S Myrtle Ave
Monrovia, CA 91016
Phone (626) 303-1541
625 Fair Oaks Ave
Ste 11012
South Pasadena, CA 91030
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator |
171M00000X | |||
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Yes | ||
| Supports Brokerage Agency | 251X00000X | |||
| Foster Care Agency | 253J00000X |
Addresses
Primary practice location
251 Llewellyn Ave BLDG F-2
Campbell, CA 95008-1940
Mailing address
499 Loma Alta Ave
Los Gatos, CA 95030-6227
Phone (408) 379-3790
Other practice location 1
499 Loma Alta Ave
Los Gatos, CA 95030-6227
Phone (408) 379-3790
Other names
- Pacific Clinics
Other providers in Campbell, CA
- Mohammad Ali Oveissi
- Carol Louise Owen
- Jonathan Raul Pacheco
- Marcelle Carrilho Alecrim Pacheco
- Pacific Clinics
- Pacific Clinics
- Pacific Clinics
- Pacific Clinics
- Pacific Clinics
- Pacific Pathology Medical Associates
All providers in Campbell, CA · Community/Behavioral Health Agency in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.