Active NPI
Pacific View
- Psychiatric Residential Treatment Facility
- San Pedro, CA
National Provider Identifier
1740426980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Residential Treatment Facility
- License
- 198600662
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.