NPIMap

Organization Active NPI

Pacific Clinics

  • Community/Behavioral Health Agency
  • Yucca Valley, CA
National Provider Identifier
1982356838
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PACIFIC CLINICS
Practice address
56020 Santa Fe TRL Ste M
Yucca Valley, CA 92284-3148
Phone
(760) 369-4057
NPI assigned
Jan 21, 2022
Last updated
May 15, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
PACIFIC CLINICSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Authorized official

Name
Kathryn McCarthy
Title
Chief Executive Officer / President
Phone
(408) 379-3790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

56020 Santa Fe TRL Ste M
Yucca Valley, CA 92284-3148

Mailing address

499 Loma Alta Ave
Los Gatos, CA 95030-6227
Phone (408) 379-3790

Other names 1

  • Pacific Clinics Morongo Basin Clubhouse Other name

National Provider Directory

National Provider Directory
Tax ID family
Pacific Clinics123 organizations share this tax ID, including this one
Part of
Pacific Clinics

Organizations with this tax ID in the same state 15

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 15

Locations

56020 Santa Fe Trl
Ste M
Yucca Valley, CA 92284
Phone (760) 369-4057

NPI Registry JSON

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

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1982356838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 LOMA ALTA AVE",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950306227",
            "telephone_number": "408-379-3790",
            "fax_number": "408-364-4013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56020 SANTA FE TRL STE M",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922843148",
            "telephone_number": "760-369-4057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC CLINICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PACIFIC CLINICS",
        "enumeration_date": "2022-01-21",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER / PRESIDENT",
        "authorized_official_telephone_number": "408-379-3790"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Clinics Morongo Basin Clubhouse",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Yucca Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.