Pacific Health Group Inc.

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

Legal business name

PACIFIC HEALTH GROUP INC.

Practice address

9120 Woodman Ave
Arleta, CA 91331-6405

Phone

(203) 823-8588

NPI assigned

Jun 26, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Jonathan Shaywitz, MD

Title

Medical Director

Phone

(310) 687-6865

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tiffany A Dzioba

  • Marriage & Family Therapist
  • Long Beach, CA
  • NPI 1346422680
  NPD

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

{
    "created_epoch": "1593129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593129600000",
    "number": "1740807643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 S ORANGE DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900363010",
            "telephone_number": "203-823-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9120 WOODMAN AVE",
            "city": "ARLETA",
            "state": "CA",
            "postal_code": "913316405",
            "telephone_number": "203-823-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC HEALTH GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-26",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A",
        "authorized_official_last_name": "SHAYWITZ",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "310-687-6865",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric Hospital Unit in Arleta, CA
• Providers in Arleta, CA by specialty
• Psychiatric Hospital Unit in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.