NPIMap

Organization Active NPI

Pacific Consulting Group, LLC.

  • Clinical Medical Laboratory
  • Corona del Mar, CA
National Provider Identifier
1740860360
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PACIFIC CONSULTING GROUP, LLC.
Practice address
477 Morning Canyon Rd
Corona del Mar, CA 92625-2614
Phone
(949) 200-9649
NPI assigned
Apr 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Authorized official

Name
Mr. Joe Wooten
Title
Owner
Phone
(714) 396-1902

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

477 Morning Canyon Rd
Corona del Mar, CA 92625-2614

Mailing address

477 Morning Canyon Rd
Corona del Mar, CA 92625-2614
Phone (949) 200-9649

National Provider Directory

National Provider Directory
Tax ID family
Pacific Consulting Group LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617840000000",
    "number": "1740860360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 MORNING CANYON RD",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926252614",
            "telephone_number": "949-200-9649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 MORNING CANYON RD",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926252614",
            "telephone_number": "949-200-9649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC CONSULTING GROUP, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-08",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A",
        "authorized_official_last_name": "WOOTEN",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-396-1902",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona del Mar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.