Pacific Cove Medical Group

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PACIFIC COVE MEDICAL GROUP

Practice address

22141 Ventura Blvd
Woodland Hills, CA 91364-1663

Phone

(941) 960-3792

NPI assigned

Feb 7, 2024

Organization subpart

No

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

Authorized official

Name

Collins Ezeuka, MD

Title

MD, Cmo, Ceo

Phone

(941) 960-3792

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1831953223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5342 CLARK RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342333227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22141 VENTURA BLVD",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641663",
            "telephone_number": "941-960-3792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC COVE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "EZEUKA",
        "authorized_official_first_name": "COLLINS",
        "authorized_official_title_or_position": "MD, CMO, CEO",
        "authorized_official_telephone_number": "941-960-3792",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Owusu
• Clara Marie Pacheco
• Danielle Elaine Pacheco
• Daphne M Pacheco
• Genesis Lillian Pacheco
• Pacific Lodge Youth Services
• Marjolie Pacifico
• Elizabeth Padilla
• Makayla Leigh Padilla
• Anvita Padukone

• Family Medicine Physician in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.