Organization Active NPI

Pacific Clinics

  • Community/Behavioral Health Agency
  • Pasadena, CA
National Provider Identifier
1407952880
Registry record updated Aug 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PACIFIC CLINICS
Practice address
1020 S Arroyo Pkwy
Ste 101
Pasadena, CA 91105-3911
Phone
(626) 403-4888
Fax
(626) 403-4894
NPI assigned
Sep 15, 2006
Last updated
Aug 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2016

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

Authorized official

Name
James J. Balla
Title
President & Chief Executive Officer
Phone
(626) 254-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1020 S Arroyo Pkwy
Ste 101
Pasadena, CA 91105-3911

Mailing address

800 S Santa Anita Ave
Arcadia, CA 91006-6853
Phone (626) 254-5000

Other identifiers 1

IdentifierTypeStateIssuer
7251MedicaidCA

Other names 1

  • Pacific Clinics Passageways Other name

National Provider Directory

National Provider Directory

Locations

1020 S Arroyo Pkwy
Ste 101
Pasadena, CA 91105
Phone (626) 403-4888

Practitioners & affiliated clinicians

Practitioners 2

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": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472428800000",
    "number": "1407952880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S SANTA ANITA AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910066853",
            "telephone_number": "626-254-5000",
            "fax_number": "626-294-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 S ARROYO PKWY",
            "address_2": "STE 101",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053911",
            "telephone_number": "626-403-4888",
            "fax_number": "626-403-4894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2016-08-29",
        "status": "A",
        "authorized_official_last_name": "BALLA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "626-254-5000"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7251",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Clinics Passageways",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2016; 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.