Organization Active NPI

Pacificar Womens Medical Center Inc

  • Obstetrics & Gynecology Physician
  • West Covina, CA
National Provider Identifier
1407990005
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A25445 Issued in CA
Legal business name
PACIFICAR WOMENS MEDICAL CENTER INC
Practice address
222 N Sunset Ave
Suite F
West Covina, CA 91790-2278
Phone
(626) 960-0696
Fax
(626) 960-5909
NPI assigned
Feb 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Estella Adorador Pacifacar, MD
Title
President
Phone
(626) 960-0696

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X A25445 CA Primary

Addresses

Primary practice location

222 N Sunset Ave
Suite F
West Covina, CA 91790-2278

Mailing address

222 N Sunset Ave
Suite F
West Covina, CA 91790-2278
Phone (626) 960-0696

Other identifiers 1

IdentifierTypeStateIssuer
00A254450MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407990005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 N SUNSET AVE",
            "address_2": "SUITE F",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902278",
            "telephone_number": "626-960-0696",
            "fax_number": "626-960-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 N SUNSET AVE",
            "address_2": "SUITE F",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902278",
            "telephone_number": "626-960-0696",
            "fax_number": "626-960-5909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFICAR WOMENS MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PACIFACAR",
        "authorized_official_first_name": "ESTELLA",
        "authorized_official_middle_name": "ADORADOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-960-0696",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A25445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A254450",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.