Pacific Ocean Behavioral Health

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

A132932 Issued in CA

Legal business name

PACIFIC OCEAN BEHAVIORAL HEALTH

Practice address

39001 Sundale Dr
Fremont, CA 94538-2005

Phone

(951) 801-2583

Fax

(951) 351-1104

NPI assigned

Oct 4, 2017

Organization subpart

No

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

Authorized official

Name

Sunpreet Singh, MDNPI 1326464462

Title

Ceo

Phone

(510) 952-1190

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sunpreet Singh, M.D.

  • Psychiatry Physician
  • Fremont, CA
  • NPI 1326464462

  CA

  Medicare reassignment NPD Authorized official
• Christian Noel I Evangelista, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Palm Springs, CA
  • NPI 1235844580

  CA

  Medicare reassignment

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

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641513600000",
    "number": "1386154342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5385 BRAE BURN PL",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906211514",
            "telephone_number": "951-801-2002",
            "fax_number": "951-351-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39001 SUNDALE DR",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945382005",
            "telephone_number": "951-801-2583",
            "fax_number": "951-351-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC OCEAN BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-04",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "SUNPREET",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-952-1190",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A132932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Pacheco
• Summer Isabella Pacheco
• Pacific Bay Pediatric Dentistry
• Pacific Care Facilities LLC
• Pacific Neurophysiologists LLC
• Pacific Therapy and Rehab, Inc
• Angelo D Padavana
• Gisela Padilla de Luna
• Adrianna Padilla
• Araceli Padilla

• Child & Adolescent Psychiatry Physician in Fremont, CA
• Providers in Fremont, CA by specialty
• Child & Adolescent Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; 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.

Verify at the official NPI Registry.