Pacific Clinics

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PACIFIC CLINICS

Practice address

4490 Cornishon Ave
La Canada, CA 91011-3243

Phone

(818) 949-4758

Fax

(818) 949-4757

NPI assigned

Jul 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Susan Mandel, PHD

Title

President/Ceo

Phone

(626) 254-5000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pacific Clinics Foothill School Other name

Locations

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1326248204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S SANTA ANITA AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910066853",
            "telephone_number": "626-254-5000",
            "fax_number": "626-294-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4490 CORNISHON AVE",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910113243",
            "telephone_number": "818-949-4758",
            "fax_number": "818-949-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "MANDEL",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "626-254-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7704",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Clinics Foothill School",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Daniel E Niemann, DDS, MD
• Jerick Nomura, PT, DPT
• Nune Grigorian DDS., Inc. (La Canada Dental Studio)
• Ohanian & Oganian Dental Corp
• Optimum Medical Group North
• Sungshim Park Loppnow, LMFT
• Karina Michelle Parra-Morales, PA-C
• Hailey Joy Paton, MPT
• Perception Optometry
• Jose M. Perez, M.D.

• Community/Behavioral Health Agency in La Canada, CA
• Providers in La Canada, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.