Karlene Tadipa Pacheco, RN, BSN

Primary specialty

Critical Care Medicine Registered NurseTaxonomy code 163WC0200X

License

95207876 Issued in CA

Practice address

934 Larch St
Inglewood, CA 90301-3950

Phone

(714) 822-7057

NPI assigned

Apr 28, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1609459684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "934 LARCH ST APT 1B",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903013930",
            "telephone_number": "714-822-7057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "934 LARCH ST",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903013950",
            "telephone_number": "714-822-7057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "KARLENE",
        "middle_name": "TADIPA",
        "name_prefix": "Ms.",
        "credential": "RN, BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-28",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "CA",
            "license": "95207876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "95207876",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "securerecords.sanford.html",
            "affiliation": "N",
            "address_1": "934 Larch St",
            "city": "Inglewood",
            "state": "CA",
            "country_code": "US",
            "postal_code": "903013950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Janis Ozaki, PT
• Elizabeth Ozegbe, PHARMD
• Mario Antonio Pacada, DPM
• Pace Medical Services Inc.
• Joaquin Donaldo Pacheco Uitz
• Pacific Nephrology Medical Group
• Pacific Pathology Medical Group Inc
• Pacific Respiratory Services
• Jay Lomibao Padillo, PHYSICAL THERAPIST
• Pai and Chan Pharmacy Corp

• Critical Care Medicine Registered Nurse in Inglewood, CA
• Providers in Inglewood, CA by specialty
• Critical Care Medicine Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.