Pacific Medical LLC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

PACIFIC MEDICAL LLC

Practice address

40 Via Cartama
San Clemente, CA 92673-6998

Phone

(888) 277-2957

Fax

(888) 277-2957

NPI assigned

Aug 31, 2007

Organization subpart

No

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

Authorized official

Name

Mr. David E Farlow

Title

Chief Operating Officer

Phone

(760) 294-8527

Specialties & licenses 2

Addresses

Tax ID family

Apnea Medics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pacific Medical California LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • San Clemente, CA
  • NPI 1043470321
  NPD tax ID

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1336333418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2652 MOUNTAIN VIEW DR",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920274933",
            "telephone_number": "760-294-8527",
            "fax_number": "888-277-2957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 VIA CARTAMA",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736998",
            "telephone_number": "888-277-2957",
            "fax_number": "888-277-2957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-31",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "FARLOW",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "760-294-8527",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Raymond Pace, DAVID PACE, PT
• Pacific Clinics
• Pacific Coast Detox LLC
• Pacific Hills Treatment Centers, Inc.
• Pacific Medical California LLC
• Pacific Palms Recovery, LLC.
• Pacific Sleep Lab Inc
• Pacific Sleep Labs, Inc.
• Pacificoast Ambulatory Surgicenter, LLC.
• Khrystianne Morita Padua, ATC

• Sleep Disorder Diagnostic Clinic/Center in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Sleep Disorder Diagnostic Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.