Organization Active NPI

Planned Parenthood Pasadena and San Gabriel Valley Inc

Doing business as Planned Parenthood Highland Park

  • Community Health Clinic/Center
  • Highland Park, CA
National Provider Identifier
1407406630
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
PLANNED PARENTHOOD PASADENA AND SAN GABRIEL VALLEY INC
Doing business as
Planned Parenthood Highland Park
Planned Parenthood Pasadena - Highland Park
Practice address
5903 N Figueroa St
Highland Park, CA 90042-4229
Phone
(626) 794-5737
NPI assigned
Sep 19, 2019
Last updated
Mar 20, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
PLANNED PARENTHOOD PASADENA AND SAN GABRIEL VALLEY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Authorized official

Name
Mirella I McCoy
Title
Revenue Cycle Director
Phone
(626) 794-5737

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X NU
Community Health Clinic/Center 261QC1500X NU Primary

Addresses

Primary practice location

5903 N Figueroa St
Highland Park, CA 90042-4229

Mailing address

620 N Lake Ave
Pasadena, CA 91101-1220
Phone (626) 794-5737

Other identifiers 2

IdentifierTypeStateIssuer
550006140OtherCALICENSE
1407406630MedicaidCA

Other names 2

  • Planned Parenthood Highland Park Doing business as
  • Planned Parenthood Pasadena - Highland Park Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210511001009 CA Part B Supplier - Clinic/Group Practice 8628487352 Receives reassigned benefits from 24 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Highland Park, CA; Pasadena, CA; Glendora, CA; Baldwin Park, CA; Alhambra, CA

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Planned Parenthood Pasadena

Locations

2333 Lake Ave
Altadena, CA 91001
Phone (626) 794-5737

620 N Lake Ave
Pasadena, CA 91101
Phone (626) 793-7350

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1407406630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N LAKE AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011220",
            "telephone_number": "626-794-5737",
            "fax_number": "626-794-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5903 N FIGUEROA ST",
            "city": "HIGHLAND PARK",
            "state": "CA",
            "postal_code": "900424229",
            "telephone_number": "626-794-5737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANNED PARENTHOOD PASADENA AND SAN GABRIEL VALLEY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PLANNED PARENTHOOD PASADENA AND SAN GABRIEL VALLEY INC",
        "enumeration_date": "2019-09-19",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "MIRELLA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "REVENUE CYCLE DIRECTOR",
        "authorized_official_telephone_number": "626-794-5737"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "550006140",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407406630",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Planned Parenthood Highland Park",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Planned Parenthood Pasadena - Highland Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Highland Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.