Pacific Health Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PACIFIC HEALTH SERVICES, INC.

Practice address

3407 W 6TH St Ste 512
Los Angeles, CA 90020-2552

Phone

(213) 387-9552

Fax

(213) 387-9553

NPI assigned

May 25, 2007

Organization subpart

No

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

Authorized official

Name

Mr. David Sylvia

Title

Ceo

Phone

(213) 387-9552

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 059678

Legal name

PACIFIC HEALTH SERVICES, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 17, 2015

Last certification

Dec 11, 2017

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Mar 13, 2003 in CA

Enrollment address

2501 W Burbank Blvd
Ste 309
Burbank, CA 91505-2347

Listed as

Pacific Health Services, IncCCN 059678 · All quality measures

Ownership

Proprietary

Certified

Aug 17, 2015

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 1

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

• Julio V Guzman, MD

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1184653628
  NPD (past)

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699986034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3407 W 6TH ST STE 512",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900202552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3407 W 6TH ST STE 512",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900202552",
            "telephone_number": "213-387-9552",
            "fax_number": "213-387-9553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SYLVIA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-387-9552",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Coast Sports Medicine
• Pacific Fertility Center
• Pacific Forensic Psychology Associates, Inc (Sharp Program)
• Pacific Gen LLC
• Pacific Healing Center, Inc.
• Pacific Hearing , Inc
• Pacific Hearing & Balance., Inc
• Pacific Hospice Care Corporation
• Pacific Hospitalists, Inc.
• Pacific MRI a Nursing Corporation

• Home Health Agency in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Home Health Agency 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.