NPIMap

Organization Active NPI

Pacifica of the Valley Corporation

Doing business as dba Pacifica Hospital of the Valley

  • Pharmacy
  • Sun Valley, CA
National Provider Identifier
1700963790
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
HSP42138 Issued in CA
Legal business name
PACIFICA OF THE VALLEY CORPORATION
Doing business as
dba Pacifica Hospital of the Valley
Practice address
9449 San Fernando Road
Sun Valley, CA 91352
Phone
(818) 767-3310
Fax
(818) 252-2291
NPI assigned
Nov 1, 2006
Last updated
Jun 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Authorized official

Name
Mr. George Watkins
Title
Cfo
Phone
(818) 252-2196

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X HSP42138 CA Primary

Addresses

Primary practice location

9449 San Fernando Road
Sun Valley, CA 91352

Mailing address

9449 San Fernando Road
Sun Valley, CA 91352
Phone (818) 767-3310

Other identifiers 1

IdentifierTypeStateIssuer
PHV421380MedicaidCA

Other names 1

  • dba Pacifica Hospital of the Valley Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pacifica Em Spec Physic15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1700963790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9449 SAN FERNANDO ROAD",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "91352",
            "telephone_number": "818-767-3310",
            "fax_number": "818-252-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9449 SAN FERNANDO ROAD",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "91352",
            "telephone_number": "818-767-3310",
            "fax_number": "818-252-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFICA OF THE VALLEY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "818-252-2196",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "HSP42138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHV421380",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba Pacifica Hospital of the Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sun Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; 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.