Pacfic Therx, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

PT18800 Issued in CA

Legal business name

PACFIC THERX, INC.

Practice address

919 Fremont Ave
Suite 100
Los Altos, CA 94024-6024

Phone

(650) 949-3404

Fax

(650) 949-3405

NPI assigned

Apr 24, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Lisa Diane Green, MPT, ATC

Title

Ceo

Phone

(650) 851-1145

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720207525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 FREMONT AVE",
            "address_2": "SUITE 100",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940246024",
            "telephone_number": "650-949-3404",
            "fax_number": "650-949-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 FREMONT AVE",
            "address_2": "SUITE 100",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940246024",
            "telephone_number": "650-949-3404",
            "fax_number": "650-949-3405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACFIC THERX, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-851-1145",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MPT, ATC"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "PT18800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ64064Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nanette H. Orman, M.D.
• Bambie Ann E Ortega
• Vanessa Ortiz, M.D.
• Brooke N. Osborne, PSY.D.
• Elena Ozhdikhina, AMFT
• Shalini Pachauri, PT
• Pacific Clinics
• Pacific Hearing Clinic
• Pacific Hearing Connection
• Sherry Pai

• Specialist in Los Altos, CA
• Providers in Los Altos, CA by specialty
• Specialist 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.