Active NPI
Pacific Clinics
- Community/Behavioral Health Agency
- Burbank, CA
National Provider Identifier
1962602839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- PACIFIC CLINICS
- Practice address
- 827 N Avon St
Burbank, CA 91505-2916 - Phone
- (818) 558-4677
- Fax
- (818) 848-8137
- NPI assigned
- Jul 19, 2007
- 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
- Dr. Susan Mandel, PHD
- Title
- President/Ceo
- Phone
- (626) 254-5000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
827 N Avon St
Burbank, CA 91505-2916
Mailing address
800 S Santa Anita Ave
Arcadia, CA 91006-6853
Phone (626) 254-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7703 | Medicaid | CA |
Other names 1
- Pacific Clinics Magnolia Park
National Provider Directory
National Provider DirectoryLocations
827 N Avon St
Burbank, CA 91505
Phone (818) 558-4677
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychologist
- Arcadia, CA
- NPI 1063551232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184803200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1328227200000",
"number": "1962602839",
"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": "827 N AVON ST",
"city": "BURBANK",
"state": "CA",
"postal_code": "915052916",
"telephone_number": "818-558-4677",
"fax_number": "818-848-8137"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PACIFIC CLINICS",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-19",
"last_updated": "2012-02-03",
"status": "A",
"authorized_official_last_name": "MANDEL",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "626-254-5000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7703",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Pacific Clinics Magnolia Park",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Burbank, CA
- Vikas K Pabby, M.D.
- George Richard Pacal, D.D.S.
- Brynilla Pacheco, P.T.
- Robert A Pacheco, DPT
- Pacific Accountable Care Network Inc
- Pacific Eye Surgery Center (Pacific Surgery Center)
- Pacific Gynecologic Specialists
- Pacific Home Health Care
- Pacific Imaging West, Inc.
- Pacific Sports Health Management, Inc. (Synergy Performance Health)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.