Pacific Breast Care Center

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

PACIFIC BREAST CARE CENTER

Practice address

1640 Newport Blvd
Suite 200
Costa Mesa, CA 92627-3786

Phone

(949) 515-3544

Fax

(949) 456-6216

NPI assigned

Jun 26, 2015

Last updated

Jun 26, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

REGENTS OF UNIVERSITY OF CALIFORNIAAs reported in NPPES

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

Authorized official

Name

Dr. Manuel Porto, MD

Title

Interim President

Phone

(714) 456-2986

Specialties & licenses 1

Addresses

Tax ID family

Uci Radiology Associate2 organizations share this tax ID, including this one

Part of

UC Irvine Medical Center - for Oc Kids

Other organizations with this tax ID 1

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

• UC Irvine Health- Newport Doctors Medical Group- Radiology

  • Medical Specialty Clinic/Center
  • Newport Beach, CA
  • NPI 1255796157
  NPD tax ID

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

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435276800000",
    "number": "1336521228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 513255",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900513255",
            "telephone_number": "714-456-3851",
            "fax_number": "714-456-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 NEWPORT BLVD",
            "address_2": "SUITE 200",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273786",
            "telephone_number": "949-515-3544",
            "fax_number": "949-456-6216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC BREAST CARE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REGENTS OF UNIVERSITY OF CALIFORNIA",
        "enumeration_date": "2015-06-26",
        "last_updated": "2015-06-26",
        "status": "A",
        "authorized_official_last_name": "PORTO",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "INTERIM PRESIDENT",
        "authorized_official_telephone_number": "714-456-2986",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cyrel Pablo, LMFT
• Esmeralda Isabel Pacheco Alvarez
• Gisela Pacheco
• Nicole Evita Pacheco
• Pacific Breast Care Center
• Pacific Breast Care Medical Group, Inc.
• Pacific CDDC
• Pacific CDDC
• Pacific CDDC
• Pacific Coast Craniofacial and Pediatric Plastic Surgery Inc.

• Health Service Clinic/Center in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; 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.