Organization Active NPI

Pacific City Group, Inc.

  • Durable Medical Equipment & Medical Supplies
  • San Fernando, CA
National Provider Identifier
1801954854
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
43634 Issued in CA
Legal business name
PACIFIC CITY GROUP, INC.
Practice address
1419 San Fernando Rd
Suite C
San Fernando, CA 91340-3229
Phone
(818) 838-6120
Fax
(818) 838-6121
NPI assigned
Dec 4, 2006
Last updated
Nov 1, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Authorized official

Name
Leonard Nwafor
Title
President
Phone
(818) 838-6120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 43634 CA Primary

Addresses

Primary practice location

1419 San Fernando Rd
Suite C
San Fernando, CA 91340-3229

Mailing address

1419 San Fernando Rd
Suite C
San Fernando, CA 91340-3229
Phone (818) 838-6120

National Provider Directory

National Provider Directory

Locations

1419 San Fernando Rd
Ste C
San Fernando, CA 91340
Phone (818) 838-6120

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1801954854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 SAN FERNANDO RD",
            "address_2": "SUITE C",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913403229",
            "telephone_number": "818-838-6120",
            "fax_number": "818-838-6121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 SAN FERNANDO RD",
            "address_2": "SUITE C",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913403229",
            "telephone_number": "818-838-6120",
            "fax_number": "818-838-6121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC CITY GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "NWAFOR",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-838-6120"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "43634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Fernando, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.