Pacific Housecalls Inc

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

Legal business name

PACIFIC HOUSECALLS INC

Practice address

3340 Tully Rd
Suite C8A
Modesto, CA 95350-0838

Phone

(209) 524-8700

Fax

(209) 846-7518

NPI assigned

Aug 31, 2010

Last updated

Mar 22, 2011By 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

Mr. Jack O'Sullivan, PT

Title

Administrator

Phone

(209) 524-8700

Specialties & licenses 1

Addresses

Locations

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.

• Frederick Joseph Kretzschmar, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Greenbrae, CA
  • NPI 1245348861
  NPD (past)

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

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300752000000",
    "number": "1285940056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 TULLY RD",
            "address_2": "SUITE C8A",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953500838",
            "telephone_number": "209-524-8700",
            "fax_number": "209-846-7518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 TULLY RD",
            "address_2": "SUITE C8A",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953500838",
            "telephone_number": "209-524-8700",
            "fax_number": "209-846-7518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC HOUSECALLS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-31",
        "last_updated": "2011-03-22",
        "status": "A",
        "authorized_official_last_name": "O'SULLIVAN",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "209-524-8700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Dillon Pacheco
• Gabriella Pacheco
• Stephanie Pacheco
• Pacific Care II (Kind Care Home)
• Pacific Clinics
• Pacific Infectious Diseases, Inc.
• Pacific Medical, Inc.
• Pacific Medical, Inc. (Pacific Medical Prosthetics & Orthotics)
• Pacific Radiology, LLC
• Pacifica Health and Medicine Inc.

• Geriatric Medicine (Family Medicine) Physician in Modesto, CA
• Providers in Modesto, CA by specialty
• Geriatric Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; 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.