PCC Health Services, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PCC HEALTH SERVICES, INC.

Practice address

805 W Arrow Hwy
Glendora, CA 91740-5413

Phone

(626) 331-0781

Fax

(626) 332-8835

NPI assigned

Aug 8, 2006

Organization subpart

No

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

Authorized official

Name

Joe Padre

Title

Director of Reimbursement

Phone

(818) 248-9808

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• EMMANUEL HEALTH CARE GLENDORA Doing business as

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982614517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2258 FOOTHILL BLVD STE 6",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910111476",
            "telephone_number": "818-248-9808",
            "fax_number": "818-731-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 W ARROW HWY",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917405413",
            "telephone_number": "626-331-0781",
            "fax_number": "626-332-8835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCC HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PADRE",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "818-248-9808"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT06079J",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EMMANUEL HEALTH CARE GLENDORA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samir A Patel, D.O.
• Pathways 1 Sober Living
• Patriot DME Inc.
• Jamison Jon Pawley, DMD MS
• Jamie Danielle Payne, CATC-I
• Diane Helen Peacock, RN
• Virginia Pena, M.S.-IP, B.A.
• Maria Haydee Perez-Melendez, MS
• Carolina Perez, LCSW
• Damaris Perez

• Skilled Nursing Facility in Glendora, CA
• Providers in Glendora, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.