Pacific Inland Healthcare Systems Corp

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PACIFIC INLAND HEALTHCARE SYSTEMS CORP

Practice address

2789 Rafferty Rd
Hemet, CA 92545-3630

Phone

(951) 566-6610

NPI assigned

Jun 17, 2021

Organization subpart

No

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

Authorized official

Name

Kyle Watanabe

Title

Director

Phone

(213) 326-9208

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623888000000",
    "number": "1871162537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2789 RAFFERTY RD",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925453630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2789 RAFFERTY RD",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925453630",
            "telephone_number": "951-566-6610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC INLAND HEALTHCARE SYSTEMS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-17",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A",
        "authorized_official_last_name": "WATANABE",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "213-326-9208"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Venessa Terdoo Oteniya, DNP
• Janelle Owens
• Charline Marie Oyhenart, LVN
• Cynthia Paola Pacas, LVN
• Kangeyan Pachaiyappan, M.D.
• Pacifica SL Hemet LLC
• Anabelle Rafanan Pacinos-Garcia, PT
• Daisy Padilla
• Eugene Arthur Padilla, CADCIII
• Judith Padilla

• Assisted Living Facility in Hemet, CA
• Providers in Hemet, CA by specialty
• Assisted Living Facility in California

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