NPIMap

Organization Active NPI

Union of Pan Asian Communities

Doing business as UPAC New Leaf Recovery Center South

  • Community/Behavioral Health Agency
  • Chula Vista, CA
National Provider Identifier
1972077899
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
UNION OF PAN ASIAN COMMUNITIES
Doing business as
UPAC New Leaf Recovery Center South
Practice address
865 Third Ave Ste 112
Chula Vista, CA 91911-1300
Phone
(619) 271-7992
Fax
(619) 271-7970
NPI assigned
Jan 14, 2019
Last updated
Apr 9, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
UNION OF PAN ASIAN COMMUNITIESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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

Authorized official

Name
Sunnyo Pak, LMFTNPI 1548479132
Title
Program Director
Phone
(619) 521-5720

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)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

865 Third Ave Ste 112
Chula Vista, CA 91911-1300

Mailing address

1031 25TH St
San Diego, CA 92102-2194
Phone (619) 232-6454

Other practice location 1

855 3rd Ave Ste 2230
Chula Vista, CA 91911-1350
Phone (619) 271-7992

Other names 1

  • UPAC New Leaf Recovery Center South Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091016000356 CA Part B Supplier - Clinic/Group Practice 3476690801 Receives reassigned benefits from 11 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: San Diego, CA; Oceanside, CA; Chula Vista, CA

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Upac Teen Recovery Center25 organizations share this tax ID, including this one
Part of
Upac Teen Recovery Center

Other organizations with this tax ID 24

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

View all 24

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617926400000",
    "number": "1972077899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 25TH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921022194",
            "telephone_number": "619-232-6454",
            "fax_number": "619-232-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 THIRD AVE STE 112",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919111300",
            "telephone_number": "619-271-7992",
            "fax_number": "619-271-7970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "855 3rd Ave Ste 2230",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919111350",
            "country_code": "US",
            "telephone_number": "619-271-7992",
            "fax_number": "619-271-7970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UNION OF PAN ASIAN COMMUNITIES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNION OF PAN ASIAN COMMUNITIES",
        "enumeration_date": "2019-01-14",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A",
        "authorized_official_last_name": "PAK",
        "authorized_official_first_name": "SUNNYO",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "619-521-5720",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UPAC New Leaf Recovery Center South",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UPAC New Leaf Recovery Center South",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.