Pacific Pride Foundation

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

PACIFIC PRIDE FOUNDATION

Practice address

126 E Haley St
Suite a-11
Santa Barbara, CA 93101-2342

Phone

(805) 963-3636

Fax

(805) 963-9086

NPI assigned

Feb 22, 2007

Organization subpart

No

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

Authorized official

Name

Mr. David Selberg

Title

Executive Director

Phone

(805) 963-3636

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Pacific Pride Foundation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pacific Pride Foundation

  • Community/Behavioral Health Agency
  • Santa Barbara, CA
  • NPI 1417075573
  NPD tax ID

Locations

Practitioners 2

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

• Mariela Marin, MFT INTERN

  • Marriage & Family Therapist
  • Santa Barbara, CA
  • NPI 1487797510
  NPD (past)
• Andrew Walther Scott, PHD, MA

  • Psychologist
  • La Jolla, CA
  • NPI 1467617324
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902931892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 E HALEY ST",
            "address_2": "SUITE A-11",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012342",
            "telephone_number": "805-963-3636",
            "fax_number": "805-963-9086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 E HALEY ST",
            "address_2": "SUITE A-11",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012342",
            "telephone_number": "805-963-3636",
            "fax_number": "805-963-9086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC PRIDE FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SELBERG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "805-963-3636",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ID NUMBER",
            "identifier": "AYD000390",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pacific Medical, Inc.
• Pacific Medical, Inc.
• Pacific Mobile Phlebotomy Services
• Pacific Plastic Surgey
• Pacific Pride Foundation
• Pacifica Coast LP
• Daniel Craig Padilla, PTA
• Franklyn Paul Padilla
• Kevin Cruz Padilla, PHARMD
• Kristine Salud Padilla

• Case Management Agency in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Case Management Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.