Pacific Health Clinic Inc

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

PACIFIC HEALTH CLINIC INC

Practice address

1040 Davis St Ste 103
San Leandro, CA 94577-1513

Phone

(510) 686-1122

NPI assigned

Jan 10, 2025

Organization subpart

No

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

Authorized official

Name

Dexter Flower

Title

MGR. Credentialing

Phone

(725) 666-1636

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Mubasher Rana, MD

  • Nephrology Physician
  • San Leandro, CA
  • NPI 1528146602
  NPD

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

{
    "created_epoch": "1736467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736467200000",
    "number": "1982414983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 DAVIS ST STE 103",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945771513",
            "telephone_number": "510-686-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 DAVIS ST STE 103",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945771513",
            "telephone_number": "510-686-1122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3700 Delta Fair Blvd Ste 211",
            "address_purpose": "LOCATION",
            "city": "Antioch",
            "state": "CA",
            "postal_code": "945094074",
            "country_code": "US",
            "telephone_number": "510-686-1122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PACIFIC HEALTH CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-10",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A",
        "authorized_official_last_name": "FLOWER",
        "authorized_official_first_name": "DEXTER",
        "authorized_official_title_or_position": "MGR. CREDENTIALING",
        "authorized_official_telephone_number": "725-666-1636"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Oyemade
• Angelina Ozonsi
• P San Leandro LP (Pacifica Senior Living San Leandro)
• Felix Pablo Pablo
• Lenaya Marie Pacheco-Langford
• Pacific Pain Institute
• Pacific Pain Institute
• Shanthala Padar, RPH., PHD
• Courtney Paden
• Estefania Padilla Rodriguez

• Nephrology Physician in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; 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.