Active NPI
Pacific Clinics
- Community/Behavioral Health Agency
- Westminster, CA
National Provider Identifier
1689717522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- PACIFIC CLINICS
- Practice address
- 13950 Milton Ave
Suite 303 and 306
Westminster, CA 92683-2900 - Phone
- (714) 901-4629
- NPI assigned
- Feb 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan Shearer, L.C.S.W.
- Title
- Sr. Vice President
- Phone
- (626) 254-5000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
13950 Milton Ave
Suite 303 and 306
Westminster, CA 92683-2900
Mailing address
800 S Santa Anita Ave
Arcadia, CA 91006-6853
Phone (626) 254-5000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W279I | Medicaid | CA | |
| 8077 | Medicaid | CA |
Other names 1
- Pacific Clinics Westminster Adult OP
National Provider Directory
National Provider Directory- Tax ID family
- Pacific Clinics
Other organizations with this tax ID 39
Organizations that report the same tax identification number in the National Provider Directory.
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- Community/Behavioral Health Agency
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- NPI 1225199714
-
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- Community/Behavioral Health Agency
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1288915200000",
"number": "1689717522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 S SANTA ANITA AVE",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910066853",
"telephone_number": "626-254-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13950 MILTON AVE",
"address_2": "SUITE 303 AND 306",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926832900",
"telephone_number": "714-901-4629"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PACIFIC CLINICS",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-14",
"last_updated": "2010-11-05",
"status": "A",
"authorized_official_last_name": "SHEARER",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "SR. VICE PRESIDENT",
"authorized_official_telephone_number": "626-254-5000",
"authorized_official_credential": "L.C.S.W."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "W279I",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8077",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Pacific Clinics Westminster Adult OP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Westminster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.