PACIFIC CLINICS


Address: 66 Hurlbut St, Pasadena, CA 91105-4025
Phone: 6264414221

PACIFIC CLINICS (NPI# 1134225519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134225519
Entity Type Organization
Organization Name PACIFIC CLINICS
Other Organization Name PACIFIC CLINICS PASADENA FAMILY SERVICES
Practice Address 66 Hurlbut St
Pasadena
CA 91105-4025
Mailing Address 800 S Santa Anita Ave
Arcadia
CA 91006-6853
Practice Telephone 6264414221
Practice Fax Number 6264416479
Mailing Telephone 6262545000
Mailing Fax Number 6262941077
Enumeration Date 2006-09-15
Last Update Date 2016-07-22
Authorized Official Name JAMES J. BALLA (PRESIDENT & CHIEF EXECUTIVE OFFICER)
Authorized Official Telephone 6262545000
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Other Provider Identifier

State Issuer Identifier Type Code
CA 19AN 05
CA DA767A 05
CA 1974 05

Other Provider/Organization Names

Other Name Type Code
Pacific Clinics Pasadena Family Services Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1306239439 Pacific Clinics Community/Behavioral Health 235 N Central Ave, Glendale, CA 91203-2531 2015-03-13
1528492188 Pacific Clinics Community/Behavioral Health 1134 S Barranca Ave, Glendora, CA 91740-4916 2013-08-30
1164762092 Pacific Clinics Case Manager/Care Coordinator 2144 Midvale Ave., Los Angeles, CA 90025 2013-03-01
1871819813 Pacific Clinics Rehabilitation Practitioner 1717 Orangewood, Orange, CA 92687 2010-04-15
1275868267 Pacific Clinics Community/Behavioral Health 11741 Telegraph Rd Ste A, B & C, Santa Fe Springs, CA 90670-3681 2009-10-08
1639357478 Pacific Clinics Community/Behavioral Health 5050 Kings Row, El Monte, CA 91731-5405 2008-02-04
1346428182 Pacific Clinics Community/Behavioral Health 581 Claremont Pl, Pomona, CA 91767-4904 2008-02-04
1487831947 Pacific Clinics Community/Behavioral Health 735 S Soto St, Los Angeles, CA 90023-1336 2008-01-28
1780873935 Pacific Clinics Community/Behavioral Health 1340 N Enid Ave, Covina, CA 91722-1214 2007-10-23
1952590101 Pacific Clinics Community/Behavioral Health 1500 E Francisquito Ave, West Covina, CA 91791-3823 2007-10-23

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities PACIFIC CLINICS 800 S Santa Anita Ave, Arcadia, CA 91006-3536

Office Location

Street Address 66 HURLBUT ST
City PASADENA
State CA
Zip Code 91105-4025

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972102044 Katrina Willow Yanez Case Manager/Care Coordinator 66 Hurlbut St, Pasadena, CA 91105-4025 2020-10-20
1942817846 Talia Sara Ram Student in an Organized Health Care Education/Training Program 66 Hurlbut St, Pasadena, CA 91105-4025 2020-09-25
1043826217 Veronica Diane Silva Student in an Organized Health Care Education/Training Program 66 Hurlbut St, Pasadena, CA 91105-4025 2020-09-22
1306454277 Courtney Derek White Student in an Organized Health Care Education/Training Program 66 Hurlbut St, Pasadena, CA 91105-4025 2020-07-16
1649896408 Melissa Ann Dover Student in an Organized Health Care Education/Training Program 66 Hurlbut St, Pasadena, CA 91105-4025 2020-06-17
1003454414 Amanda Jane De Wolf Counselor 66 Hurlbut St, Pasadena, CA 91105-4025 2019-12-16
1588202998 Sara Elizabeth Pineda Reyes Case Manager/Care Coordinator 66 Hurlbut St, Pasadena, CA 91105-4025 2019-12-16
1659929073 Jeffrey Najarro Case Manager/Care Coordinator 66 Hurlbut St, Pasadena, CA 91105-4025 2019-08-28
1669024097 Yasmin Guadalupe Montoya Case Manager/Care Coordinator 66 Hurlbut St, Pasadena, CA 91105-4025 2019-07-16
1316505365 Jessica Marie Fong Student in an Organized Health Care Education/Training Program 66 Hurlbut St, Pasadena, CA 91105-4025 2019-06-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619451697 Tonya Michlin Registered Nurse 800 Fairmount Ave Ste 110, Pasadena, CA 91105 2018-09-17
1639674161 David Marcus Md, Inc. Psychiatry & Neurology 107 S. Fair Oaks Avenue, Suite #315, Pasadena, CA 91105 2018-03-27
1548778541 Elias & Jun Dental Corp Dentist 301 S. Fair Oaks Ave., Ste 107, Pasadena, CA 91105 2018-01-12
1013429745 Whitney Catalano Dietitian, Registered 100 S Orange Grove Blvd, 103, Pasadena, CA 91105 2017-11-03
1518485630 Marlon O Miller Counselor 1020 South Arroyo Parkway, Pasadena, CA 91105 2017-09-08
1316469976 Alexandra Scott Speech-Language Pathologist 235 La Vereda Road, Pasadena, CA 91105 2017-07-14
1346770443 Amanda Grace Gentz Rehabilitation Practitioner 210 S De Lacey, Ste 110, Pasadena, CA 91105 2017-06-13
1427598390 Melina Gomez Loza Licensed Vocational Nurse 66 Hilburt St #2, Pasadena, CA 91105 2017-02-27
1588115281 Ramon Banuelos Rehabilitation Practitioner 210 S. Delacey Ave Suite 110, Pasadena, CA 91105 2016-10-18
1922554245 Daniel Joseph Ybarra Student in an Organized Health Care Education/Training Program 100 W. California Blvd. Pasadena, Ca 91105, Pasadena, CA 91105 2016-08-28
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386253177 Ascend Behavior Consultants LLC Community/Behavioral Health 680 E Colorado Blvd, Pasadena, CA 91101-6143 2020-07-28
1437797024 Elevate Concierge Health, LLC Community/Behavioral Health 1280 Afton St, Pasadena, CA 91103-2303 2019-12-15
1841853645 Prince Health Care Services Inc Community/Behavioral Health 8000 Jumpers Hole Rd Ste 212, Pasadena, MD 21122-1046 2019-04-17
1659839298 North East Los Angeles Psychology Community/Behavioral Health 380 S Lake Ave Ste 205, Pasadena, CA 91101-5063 2019-03-02
1972053726 Five Acres- The Boys' and Girls' Aid Society of Los Angeles County Community/Behavioral Health 1236 Solita Rd, Pasadena, CA 91103-2452 2016-10-05
1326591090 Lead Way Behavioral Services Community/Behavioral Health 177 E Colorado Blvd # 200, Pasadena, CA 91105-1986 2016-07-29
1689090169 Shiloh Center Music Theraphy Services LLC Community/Behavioral Health 819 E Pasadena Rd, Pasadena, MD 21122-4002 2014-03-08
1649694324 Behavior Frontiers Community/Behavioral Health 155 N Lake Ave Ste 800, Pasadena, CA 91101-1857 2014-02-14
1609149459 Whole Mind Wellness Services Community/Behavioral Health 32 S Raymond Ave Ste 3b, Pasadena, CA 91105-1961 2012-02-09
1154649564 D'veal Family and Youth Services Community/Behavioral Health 1905 Lincoln Ave, Pasadena, CA 91103-1315 2010-05-10
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Competitor

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City PASADENA
Zip Code 91105

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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