Organization Active NPI

Pacita R Aducayen Incorporated

  • Primary Care Clinic/Center
  • Pittsburg, CA
National Provider Identifier
1801144142
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A049795 Issued in CA
Legal business name
PACITA R ADUCAYEN INCORPORATED
Practice address
2250 Gladstone Dr Ste 2
Pittsburg, CA 94565-5124
Phone
(925) 432-6208
Fax
(925) 432-0134
NPI assigned
Aug 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Authorized official

Name
Dr. Pacita R Aducayen, MDNPI 1851307219
Title
Ceo
Phone
(925) 432-6208

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X A049795 CA Primary

Addresses

Primary practice location

2250 Gladstone Dr Ste 2
Pittsburg, CA 94565-5124

Mailing address

2250 Gladstone Dr Ste 2
Pittsburg, CA 94565-5124
Phone (925) 432-6208

Other identifiers 1

IdentifierTypeStateIssuer
05D1059200OtherCACLIA CERTIFICATION

Other names 1

  • PACITA R ADUCAYEN, M.D. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121109000370 CA Part B Supplier - Clinic/Group Practice 0042461543 Receives reassigned benefits from 1 practitioner
Practice locations: Pittsburg, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1059200Pacita R. Aducayen, Incorporated2250 Gladstone Drive, Suite 2, Pittsburg, CA 94565Certificate of waiverSep 24, 2026

National Provider Directory

National Provider Directory

Locations

2250 Gladstone Dr
Ste 2
Pittsburg, CA 94565
Phone (925) 432-6208

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742515200000",
    "number": "1801144142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 GLADSTONE DR STE 2",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945655124",
            "telephone_number": "925-432-6208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 GLADSTONE DR STE 2",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945655124",
            "telephone_number": "925-432-6208",
            "fax_number": "925-432-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACITA R ADUCAYEN INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-16",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A",
        "authorized_official_last_name": "ADUCAYEN",
        "authorized_official_first_name": "PACITA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "925-432-6208",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A049795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA CERTIFICATION",
            "identifier": "05D1059200",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PACITA R ADUCAYEN, M.D.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Pittsburg, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.