Pacific Heights Healthcare, Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G061513 Issued in CA

Legal business name

PACIFIC HEIGHTS HEALTHCARE, INC

Practice address

26060 Acero
Mission Viejo, CA 92691-2768

Phone

(949) 580-1061

NPI assigned

Oct 27, 2017

Last updated

Oct 31, 2017By 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

Julie Thomas, MDNPI 1053703520

Title

President

Phone

(949) 580-1061

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Julie Ann Thomas, M.D.

  • Psychiatry Physician
  • Hemet, CA
  • NPI 1053703520

  Sleep Medicine

  NPD Authorized official

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

{
    "created_epoch": "1509062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509408000000",
    "number": "1831601053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1598",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926191598",
            "telephone_number": "949-580-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26060 ACERO",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926912768",
            "telephone_number": "949-580-1061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC HEIGHTS HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-27",
        "last_updated": "2017-10-31",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-580-1061",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G061513",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "CA",
            "license": "G061513",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "G061513",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2042010",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin Michael Otomo, L.AC.
• Brandon Neil Owens, LMFT
• Omar Ozgur, M.D.
• Sarah Dawn Pace, MD, MPH
• Pacific Gastroenterology Endoscopy Center
• Pacific Hills Healthcare Inc
• Pacific Hospitalist Associates a Medical Corporation
• Pacific Pediatric Therapy
• Pacific Solstice Integrative Clinic
• Pacific Solstice LLC

• Psychiatry Physician in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2017; 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.