Pacific Health ,Inc

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

Legal business name

PACIFIC HEALTH ,INC

Doing business as

Pacific Health ,Inc

Practice address

1130 Barnaby Ter SE
Washington, DC 20032-4301

Phone

(301) 346-3576

NPI assigned

Jun 29, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Paul Sobowale, NURSE

Title

Director of Operations

Phone

(301) 346-3576

Specialties & licenses 1

Addresses

Other names 1

• Pacific Health ,Inc Doing business as

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

{
    "created_epoch": "1719619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719619200000",
    "number": "1467297416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9674 HALSTEAD AVE",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207231882",
            "telephone_number": "301-346-3576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 BARNABY TER SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200324301",
            "telephone_number": "301-346-3576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC HEALTH ,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-29",
        "last_updated": "2024-06-29",
        "certification_date": "2024-06-29",
        "status": "A",
        "authorized_official_last_name": "SOBOWALE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "301-346-3576",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NURSE"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Health ,Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marcial Antonio Pacheco, CAC-I
• Thomas Barba Pacheco
• Laura J. Pachelli, MSN/FNP-BC
• Cole Stewart Pachter, PA-C
• Melanie C. Paci, PSY.D.
• Pacific Healthcare
• Pacific Healthcares Inc
• Julia L Pack, PHARMD
• Roger Packer, MD
• Paola Janneth Paco Morales

• Licensed Practical Nurse in Washington, DC
• Providers in Washington, DC by specialty
• Licensed Practical Nurse in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2024; 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.