Pacific Diagnostic

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PACIFIC DIAGNOSTIC

Practice address

14482 Beach Blvd Ste T
Westminster, CA 92683-5341

Phone

(714) 321-5425

Fax

(714) 892-4942

NPI assigned

Apr 17, 2007

Last updated

Aug 22, 2020By 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

Anthony F. Menard

Title

Management

Phone

(714) 321-5425

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649496845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14482 BEACH BLVD STE T",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835341",
            "telephone_number": "714-321-5425",
            "fax_number": "714-892-4942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14482 BEACH BLVD STE T",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835341",
            "telephone_number": "714-321-5425",
            "fax_number": "714-892-4942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC DIAGNOSTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MENARD",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "MANAGEMENT",
        "authorized_official_telephone_number": "714-321-5425"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Otterbein, OTR/L
• P & T Venture, Inc (Value Scripts Pharmacy)
• Pacific Clinics
• Pacific Clinics
• Pacific Clinics
• Pacific Optometry Group
• Irene Palacios, R.N.
• Angelica Galang Palad, RD
• Daniel Jinsang Park, D.D.S.
• Hyogin Park, DMD

• Clinical Medical Laboratory in Westminster, CA
• Providers in Westminster, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.