Organization Active NPI

Pacific View

  • Psychiatric Residential Treatment Facility
  • San Pedro, CA
National Provider Identifier
1740426980
Registry record updated Dec 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
198600662 Issued in CA
Legal business name
PACIFIC VIEW
Practice address
2300 S Pacific Ave
San Pedro, CA 90731-5936
Phone
(310) 521-9896
NPI assigned
Dec 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2008

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

Authorized official

Name
Mrs. Yolanda Paminpuan, ADUALT RESIDENTIAL
Title
Facility Manager
Phone
(310) 521-9896

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X 198600662 CA Primary

Addresses

Primary practice location

2300 S Pacific Ave
San Pedro, CA 90731-5936

Mailing address

2300 S Pacific Ave
San Pedro, CA 90731-5936
Phone (310) 521-9896

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229472000000",
    "number": "1740426980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 S PACIFIC AVE",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907315936",
            "telephone_number": "310-521-9896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 S PACIFIC AVE",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907315936",
            "telephone_number": "310-521-9896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC VIEW",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-17",
        "last_updated": "2008-12-17",
        "status": "A",
        "authorized_official_last_name": "PAMINPUAN",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "FACILITY MANAGER",
        "authorized_official_telephone_number": "310-521-9896",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ADUALT RESIDENTIAL"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "CA",
            "license": "198600662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Pedro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.