Active NPI
Leomar Health Group Inc
Doing business as Pacific Health Group
- Psychiatry Physician
- Visalia, CA
National Provider Identifier
1912782343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- LEOMAR HEALTH GROUP INC
- Doing business as
- Pacific Health Group
- Practice address
- 525 W Main St Ste 120
Visalia, CA 93291-6169 - Phone
- (888) 341-4449
- Fax
- (858) 529-9709
- NPI assigned
- Aug 24, 2023
- Last updated
- Aug 28, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Candice Shamoon
- Title
- Credentialing Director
- Phone
- (888) 341-4449
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | ||
| Professional Counselor | 101YP2500X | NU | ||
| Clinical Psychologist | 103TC0700X | NU | ||
| Social Worker | 104100000X | NU | ||
| Psychiatry Physician | 2084P0800X | NU | Primary | |
| Attendant Care Provider | 3747A0650X | NU | ||
| Personal Care Attendant | 3747P1801X | NU | ||
| Homemaker | 376J00000X | NU | ||
| Case Manager/Care Coordinator | 171M00000X | NU | ||
| Supports Brokerage Agency | 251X00000X | NU |
Addresses
Primary practice location
525 W Main St Ste 120
Visalia, CA 93291-6169
Mailing address
2888 Loker Ave E Ste 110
Carlsbad, CA 92010-6683
Phone (888) 341-4449
Other names 1
- Pacific Health Group
National Provider Directory
National Provider Directory- Tax ID family
- Leomar Health Group Inc
Other organizations with this tax ID 7
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Pacific Health Group
- Psychiatry Physician
- Los Angeles, CA
- NPI 1316721954
-
dba Pacific Health Group
- Psychiatry Physician
- San Bernardino, CA
- NPI 1518742782
Locations
525 W Main St
Ste 120
Visalia, CA 93291
Phone (559) 429-5211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692835200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693180800000",
"number": "1912782343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2888 LOKER AVE E STE 110",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920106683",
"telephone_number": "888-341-4449",
"fax_number": "858-529-9709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 W MAIN ST STE 120",
"city": "VISALIA",
"state": "CA",
"postal_code": "932916169",
"telephone_number": "888-341-4449",
"fax_number": "858-529-9709"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEOMAR HEALTH GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-24",
"last_updated": "2023-08-28",
"certification_date": "2023-08-28",
"status": "A",
"authorized_official_last_name": "SHAMOON",
"authorized_official_first_name": "CANDICE",
"authorized_official_title_or_position": "CREDENTIALING DIRECTOR",
"authorized_official_telephone_number": "888-341-4449",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251X00000X",
"taxonomy_group": "",
"desc": "Supports Brokerage",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pacific Health Group",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Pacific Health Group",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.