Pacific Clinics

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PACIFIC CLINICS

Practice address

1460 N Lake Ave
Pasadena, CA 91104-2300

Phone

(626) 296-7710

Fax

(626) 296-7714

NPI assigned

Feb 14, 2007

Last updated

Aug 17, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James J. Balla

Title

President & Chief Executive Officer

Phone

(626) 254-5000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pacific Clinics on Lake OP Other name

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629158400000",
    "number": "1750424321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S SANTA ANITA AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910066853",
            "telephone_number": "626-254-5000",
            "fax_number": "626-294-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 N LAKE AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911042300",
            "telephone_number": "626-296-7710",
            "fax_number": "626-296-7714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A",
        "authorized_official_last_name": "BALLA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "626-254-5000"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7401",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Clinics on Lake OP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Pacific Clinics
• Pacific Clinics
• Pacific Clinics
• Pacific Clinics (Passageways)
• Pacific Clinics
• Pacific Clinics
• Pacific Clinics
• Pacific Clinics
• Pacific Clinics
• Pacific Clinics Children/Family Speciality PC

• Community/Behavioral Health Agency in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Community/Behavioral Health Agency in California

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