NPIMap

Organization Active NPI

Pacifica Orthopedics Medical Corporation

  • Clinical Psychologist
  • Huntington Beach, CA
National Provider Identifier
1720273923
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY20017 Issued in CA
Legal business name
PACIFICA ORTHOPEDICS MEDICAL CORPORATION
Practice address
18800 Delaware St
Suite 1100
Huntington Beach, CA 92648-1959
Phone
(714) 841-5333
NPI assigned
Sep 11, 2007
Last updated
Sep 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

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

Authorized official

Name
Paul Wakim, D.O.NPI 1891857405
Title
Owner
Phone
(714) 841-5333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY20017 CA Primary

Addresses

Primary practice location

18800 Delaware St
Suite 1100
Huntington Beach, CA 92648-1959

Mailing address

18800 Delaware St
Suite 1100
Huntington Beach, CA 92648-1959
Phone (714) 841-5333

National Provider Directory

National Provider Directory
Tax ID family
Pacifica Orthopedics3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1720273923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18800 DELAWARE ST",
            "address_2": "SUITE 1100",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481959",
            "telephone_number": "714-841-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18800 DELAWARE ST",
            "address_2": "SUITE 1100",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481959",
            "telephone_number": "714-841-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFICA ORTHOPEDICS MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "WAKIM",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-841-5333",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY20017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.