Active NPI
Telecare Corporation
Doing business as Pacific Village
- Mental Illness Community Based Residential Treatment Facility
- San Diego, CA
National Provider Identifier
1366265183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- TELECARE CORPORATION
- Doing business as
- Pacific Village
- Practice address
- 3737-3747 Midway Dr
San Diego, CA 92110 - Phone
- (510) 337-7950
- Fax
- (510) 337-7969
- NPI assigned
- Nov 1, 2024
- Last updated
- Sep 8, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lorena Lopez
- Title
- Provider Relations Supervisor
- Phone
- (510) 292-7024
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Primary |
Addresses
Primary practice location
3737-3747 Midway Dr
San Diego, CA 92110
Mailing address
1080 Marina Village Pkwy Ste 100
Alameda, CA 94501-1078
Phone (510) 337-7950
Other names 1
- Pacific Village
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070614000167 | CA | Part B Supplier - Clinic/Group Practice | 6901820380 |
Receives reassigned benefits from 246 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider Directory- Tax ID family
- Telecare Copration
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.
-
dba Merrill Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fontana, CA
- NPI 1376055632
-
dba Muriel Wright Recovery Center SUDS
- Substance Abuse Rehabilitation Facility
- San Jose, CA
- NPI 1407355548
-
dba Telecare White Lane Ebsh
- Mental Illness Community Based Residential Treatment Facility
- Stockton, CA
- NPI 1285368720
-
dba Telecare La Conexion IFSP
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1306487293
-
dba Service Center
- Psychiatric Residential Treatment Facility
- Camarillo, CA
- NPI 1316156177
-
dba Telecare Santa Maria Adult/Older Adult FSP
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Santa Maria, CA
- NPI 1316192149
-
dba Casa De Esperanza Y Suenos
- Mental Illness Community Based Residential Treatment Facility
- Camarillo, CA
- NPI 1326124579
-
dba Telecare La Claridad ACT
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1326689217
-
dba Telecare Renew N B St
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sacramento, CA
- NPI 1326758822
-
dba Redwood Place mental Health Rehabilitation Center
- Mental Illness Community Based Residential Treatment Facility
- Castro Valley, CA
- NPI 1346338928
-
dba AMHS TAO Central FSP
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Garden Grove, CA
- NPI 1346737590
-
dba Telecare Behavioral Health Services Team
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Modesto, CA
- NPI 1356427413
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730419200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788825600000",
"number": "1366265183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1080 MARINA VILLAGE PKWY STE 100",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945011078",
"telephone_number": "510-337-7950",
"fax_number": "510-337-7969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3737-3747 MIDWAY DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92110",
"telephone_number": "510-337-7950",
"fax_number": "510-337-7969"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TELECARE CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-01",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A",
"authorized_official_last_name": "LOPEZ",
"authorized_official_first_name": "LORENA",
"authorized_official_title_or_position": "PROVIDER RELATIONS SUPERVISOR",
"authorized_official_telephone_number": "510-292-7024"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pacific Village",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in San Diego, CA
- Telecare Corporation (Tesoro)
- Telecare Corporation (Telecare AgeWise)
- Telecare Corporation
- Telecare Corporation (Presidio Palms PSH)
- Telecare Corporation (Valley Vista Permanent Supportive Housing)
- Telecare Corporation
- Telecare Corporation (Conrep Regional Fact San Diego)
- Telecare Corporation (The Shores at North Beach)
- Telecare Corporation (La Luna)
- Telecare Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.