Pacifico Enterprise LLC

Primary specialty

Sonography Specialist/Technologist CardiovascularTaxonomy code 246XS1301X

Legal business name

PACIFICO ENTERPRISE LLC

Practice address

30 Schillinger Rd N Ste 102
Mobile, AL 36608-5060

Phone

(251) 388-9055

NPI assigned

Feb 19, 2025

Organization subpart

No

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

Authorized official

Name

Nia Masey

Title

Coo

Phone

(251) 388-9055

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 2

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

• Sheadrian Antalan

  • Family Nurse Practitioner
  • Mobile, AL
  • NPI 1730904293

  Sonography

  NPD
• Michael Eugene McKinney, MD

  • Cardiovascular Disease Physician
  • Somerset, KY
  • NPI 1295724771
  NPD

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

{
    "created_epoch": "1739923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1629874847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 SCHILLINGER RD N STE 102",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366085060",
            "telephone_number": "251-388-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 SCHILLINGER RD N STE 102",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366085060",
            "telephone_number": "251-388-9055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFICO ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-19",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "MASEY",
        "authorized_official_first_name": "NIA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "251-388-9055"
    },
    "taxonomies": [
        {
            "code": "246XS1301X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• P R H PC
• Emily Ann Pace, PT, DPT
• Lucille Pace, LMSW
• Antonio Lim Pacheco, M.D.
• Vanessa Pacheco
• Ardie Vanessa Pack-Mabien, CRNP
• Taronda Packer
• Lisa Latonia Padgett-Hughes, (HOND), CMHWC, CLC
• Joseph Pafumy III, M.D.
• Luther L Page

• Sonography Specialist/Technologist Cardiovascular in Mobile, AL
• Providers in Mobile, AL by specialty
• Sonography Specialist/Technologist Cardiovascular in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.