Pacific Coast Healthcare

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

2007026052 Issued in CA

Legal business name

PACIFIC COAST HEALTHCARE

Practice address

4025 Camino del Rio S
Suite #331
San Diego, CA 92108-4107

Phone

(619) 291-8602

NPI assigned

Dec 4, 2007

Last updated

Dec 4, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Joshua Daniel Hennig

Title

Ceo

Phone

(619) 291-8600

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1396927141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 CAMINO DEL RIO S",
            "address_2": "SUITE #331",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084107",
            "telephone_number": "619-291-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 CAMINO DEL RIO S",
            "address_2": "SUITE #331",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084107",
            "telephone_number": "619-291-8602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC COAST HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "HENNIG",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-291-8600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "CA",
            "license": "2007026052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Beach Recovery
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• Pacific Beach Therapy Solutions
• Pacific Center of Health and Acupuncture, Inc. (Pacific Center of Health)
• Pacific Clinics
• Pacific Coast Psychiatric Associates Inc
• Pacific Coast Psychiatry Corporation
• Pacific Coast Rehabilitation and Pain Management
• Pacific Coast Surgical Group
• Pacific Colllege of Oriental Medicine, Inc

• Nursing Care Agency in San Diego, CA
• Providers in San Diego, CA by specialty
• Nursing Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.