Pacific American Medical Service Inc

Primary specialty

Radiography Radiologic TechnologistTaxonomy code 2471C3402X

Legal business name

PACIFIC AMERICAN MEDICAL SERVICE INC

Practice address

5288 Eastgate Mall
San Diego, CA 92121-2835

Phone

(858) 622-0792

Fax

(858) 866-0760

NPI assigned

Sep 16, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Roy Anthony Brown, RTNPI 1083845507

Title

Ceo

Phone

(858) 622-0792

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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

• Roy Anthony Brown, ROY BROWN

  • Magnetic Resonance Imaging Radiologic Technologist
  • Gallatin Gateway, MT
  • NPI 1083845507

  Radiography

  NPD (past) Authorized official
• Matthew Follett, MD

  • Orthopaedic Surgery of the Spine Physician
  • Chula Vista, CA
  • NPI 1316443849
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332374400000",
    "number": "1952407629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5288 EASTGATE MALL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212835",
            "telephone_number": "858-622-0792",
            "fax_number": "858-866-0760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5288 EASTGATE MALL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212835",
            "telephone_number": "858-622-0792",
            "fax_number": "858-866-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC AMERICAN MEDICAL SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2012-03-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-622-0792",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RT"
    },
    "taxonomies": [
        {
            "code": "2471C3402X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Radiography",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "CA",
            "license": "RHF69929",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Kenneth Pacheco, IDC
• Shannon Pacheco, PA-C
• Shawnna Pacheco
• Sharon Pachuca
• Ashley Pacias, NONE
• Pacific Bay Recovery Inc
• Pacific Bay Recovery Inc
• Pacific Bay Recovery Inc
• Pacific Beach Health, LLC
• Pacific Beach Marriage and Family Counseling, Inc.

• Radiography Radiologic Technologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Radiography Radiologic Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; 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.