Pacific Coast Medical Center Incorporated a Professional Corporation

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

G73756 Issued in CA

Legal business name

PACIFIC COAST MEDICAL CENTER INCORPORATED A PROFESSIONAL CORPORATION

Practice address

2351 W March LN
Suite a
Stockton, CA 95207-5292

Phone

(209) 464-7738

Fax

(209) 464-5142

NPI assigned

Mar 8, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Jagjit Sihota, DC

Title

Partner

Phone

(209) 464-7738

Specialties & licenses 1

Addresses

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anjali Agrawal, P.A.

  • Physician Assistant
  • Arcadia, CA
  • NPI 1023340379
  NPD (past)
• Tamar Michelle Broussard, PA, MPH

  • Physician Assistant
  • Sacramento, CA
  • NPI 1740621838
  NPD (past)
• Siamak Heshmati, MD

  • Family Medicine Physician
  • Lancaster, CA
  • NPI 1972550077
  NPD (past)
• Patricia Jorgenson, FNP

  • Family Nurse Practitioner
  • Stockton, CA
  • NPI 1235535162
  NPD (past)
• Keith Grant Marsden, D.C.

  • Chiropractor
  • Stockton, CA
  • NPI 1649333139
  NPD (past)
• Edmundo Ruiz Davila, M.D.

  • Family Medicine Physician
  • Fremont, CA
  • NPI 1699726976
  NPD (past)

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

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410739200000",
    "number": "1578838520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2351 W MARCH LN",
            "address_2": "SUITE A",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075292",
            "telephone_number": "209-464-7738",
            "fax_number": "209-464-5142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 W MARCH LN",
            "address_2": "SUITE A",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075292",
            "telephone_number": "209-464-7738",
            "fax_number": "209-464-5142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC COAST MEDICAL CENTER INCORPORATED A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-08",
        "last_updated": "2014-09-15",
        "status": "A",
        "authorized_official_last_name": "SIHOTA",
        "authorized_official_first_name": "JAGJIT",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "209-464-7738",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CA",
            "license": "G73756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gustavo Pacheco Jr.
• Moses Pacheco III
• Nepthali Munoz Pacheco
• Teresita Cafirma Pacheco
• Pacific Center for Addiction Services Inc.
• Pacific Coast Services Inc.
• Pacific Compounding Pharmacy and Consultations, Inc.
• Pacific Dermatology Medical Associates, Inc
• Pacific Heart and Vascular Medical Group
• Pacific Kidney & Hypertension Inc

• Point of Service in Stockton, CA
• Providers in Stockton, CA by specialty
• Point of Service in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; 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.