Pacific Diagnostics, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PACIFIC DIAGNOSTICS, INC.

Practice address

15725 Pomerado Rd Ste 108
Poway, CA 92064-2058

Phone

(858) 524-6199

Fax

(619) 732-5555

NPI assigned

Feb 21, 2022

Organization subpart

No

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

Authorized official

Name

Alexandre Bagdassarian

Title

President/Ceo

Phone

(858) 524-6199

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• SD RX Doing business as

Locations

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1679228316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15725 POMERADO RD STE 108",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642058",
            "telephone_number": "858-524-6199",
            "fax_number": "619-732-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15725 POMERADO RD STE 108",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642058",
            "telephone_number": "858-524-6199",
            "fax_number": "619-732-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC DIAGNOSTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-21",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "BAGDASSARIAN",
        "authorized_official_first_name": "ALEXANDRE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "858-524-6199"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "PHY60057",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SD RX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Victor Simon Ortiz
• Andrea Osuna
• Jennifer L Ottino, D.O.
• Kevin Owsley, M.D.
• Pacific Center for Neurological Disease Inc
• Pacific Sierra Medical
• Pacifico West RX, Inc.
• Jonathan Michael Paden, PT
• Edward P. Padilla, MA, MS, RDN
• Jerilyn A Padua

• Community/Retail Pharmacy in Poway, CA
• Providers in Poway, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.