Pacific Clinics

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PACIFIC CLINICS

Practice address

1020 S Arroyo Pkwy
Pasadena, CA 91105-3911

Phone

(626) 403-2794

Fax

(626) 403-4898

NPI assigned

Sep 11, 2006

Last updated

Jul 21, 2022By 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

James J. Balla

Title

President & Chief Executive Officer

Phone

(626) 254-5000

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 2

• PACIFIC C LINICS ARROYO Other name
• Pacific Clinics Arroyo Other name

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1912001934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S SANTA ANITA AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910066853",
            "telephone_number": "626-254-5000",
            "fax_number": "626-294-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 S ARROYO PKWY",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053911",
            "telephone_number": "626-403-2794",
            "fax_number": "626-403-4898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2022-07-21",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "BALLA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "626-254-5000"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19AN",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7353",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PACIFIC C LINICS ARROYO",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Pacific Clinics Arroyo",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Pacific Clinics
• Pacific Clinics
• Pacific Clinics (Passageways)
• Pacific Clinics
• Pacific Clinics
• Pacific Clinics
• Pacific Clinics
• Pacific Clinics
• Pacific Clinics Children/Family Speciality PC
• Pacific Clinincs

• Community/Behavioral Health Agency in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.