Pacifica Pain Management Services

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

280015AP Issued in CA

Legal business name

PACIFICA PAIN MANAGEMENT SERVICES

Practice address

1700 Soscol Ave
Suite 25
Napa, CA 94559-1351

Phone

(707) 963-1493

Fax

(707) 963-1463

NPI assigned

Jul 29, 2006

Last updated

Sep 14, 2012By 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

Dr. Gary K. Mills, PH.D.NPI 1881600872

Title

Director

Phone

(707) 963-1493

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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.

• Gary K. Mills, PH.D.

  • Health Service Psychologist
  • Napa, CA
  • NPI 1881600872
  NPD (past) Authorized official

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347580800000",
    "number": "1467467357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 SOSCOL AVE",
            "address_2": "SUITE 25",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945591351",
            "telephone_number": "707-963-1493",
            "fax_number": "707-963-1463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 SOSCOL AVE",
            "address_2": "SUITE 25",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945591351",
            "telephone_number": "707-963-1493",
            "fax_number": "707-963-1463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFICA PAIN MANAGEMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2012-09-14",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "707-963-1493",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "280015AP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY LICENSE",
            "identifier": "280015 AP",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PSY4876",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeremy David Ostrander
• Haley Breann Ostrom
• Pachamama Midwifery
• Edna Audrey Pacheco, RN
• Pacific Path Inc (Pacific Pathology Associates of Napa, Inc)
• Heather M. Paciotti, MD
• Anne Marie Rose Paclebar Mahoney, PSY.D
• Citlaly Padilla Ayala
• Adilene Padilla
• Jennifer Fuentes Padilla, LMFT

• Substance Abuse Rehabilitation Facility in Napa, CA
• Providers in Napa, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; 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.