NPIMap

Organization Active NPI

Pacific Clinics

  • Community/Behavioral Health Agency
  • San Diego, CA
National Provider Identifier
1316726284
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PACIFIC CLINICS
Practice address
4420 Hotel Circle CT Ste 205
San Diego, CA 92108-3423
Phone
(408) 379-3790
NPI assigned
Sep 28, 2023
Last updated
May 15, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
PACIFIC CLINICSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Authorized official

Name
Kathryn McCarthy
Title
Chief Executive Officer / President
Phone
(408) 379-3790

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU
Case Manager/Care Coordinator 171M00000X NU
Community/Behavioral Health Agency 251S00000X NU Primary
Supports Brokerage Agency 251X00000X NU

Addresses

Primary practice location

4420 Hotel Circle CT Ste 205
San Diego, CA 92108-3423

Mailing address

499 Loma Alta Ave
Los Gatos, CA 95030-6227
Phone (408) 379-3790

National Provider Directory

National Provider Directory
Tax ID family
Pacific Clinics123 organizations share this tax ID, including this one
Part of
Pacific Clinics

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

4420 Hotel Circle Ct
Ste 205
San Diego, CA 92108
Phone (833) 426-0754

NPI Registry JSON

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

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1316726284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 LOMA ALTA AVE",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950306227",
            "telephone_number": "408-379-3790",
            "fax_number": "408-364-4013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 HOTEL CIRCLE CT STE 205",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083423",
            "telephone_number": "408-379-3790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC CLINICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PACIFIC CLINICS",
        "enumeration_date": "2023-09-28",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER / PRESIDENT",
        "authorized_official_telephone_number": "408-379-3790"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.