PACIFIC CLINICS (NPI# 1174665145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174665145 |
| Entity Type | Organization |
| Organization Name | PACIFIC CLINICS |
| Other Organization Name | PACIFIC CLINICS ORANGE ADULT OP |
| Practice Address |
1717 W Orangewood Ave Suite I Orange CA 92868-2040 |
| Mailing Address |
800 S Santa Anita Ave Arcadia CA 91006-6853 |
| Practice Telephone | 7147128340 |
| Practice Fax Number | 7147128344 |
| Mailing Telephone | 6262545000 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2010-01-26 |
| Authorized Official Name | SUSAN SHEARER (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 6262545000 |
| Authorized Official Credential | L.C.S.W. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 8081 | 05 | |
| CA | W279F | 05 |
| Other Name | Type Code |
|---|---|
| Pacific Clinics Orange Adult OP | Other Name - Individual/Organization |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PACIFIC CLINICS | 800 S Santa Anita Ave, Arcadia, CA 91006-3536 |
| Street Address |
1717 W ORANGEWOOD AVE SUITE I |
| City | ORANGE |
| State | CA |
| Zip Code | 92868-2040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245393842 | Janet S Rohm | Chiropractor | 1717 W Orangewood Ave, Ste C, Orange, CA 92868-2040 | 2006-12-18 |
| 1760780035 | Joseph Michael Lucchese | Case Manager/Care Coordinator | 1717 W Orangewood Ave, Orange, CA 92868-2040 | 2011-03-09 |
| 1225335813 | John David Byrne | Counselor | 1717 W Orangewood Ave, Orange, CA 92868-2040 | 2011-02-17 |
| 1669778544 | Pacific Clinics' Orange Wellness and Recovery | Clinic/Center | 1717 W Orangewood Ave, Orange, CA 92868-2040 | 2011-02-09 |
| 1124354089 | William Be | Rehabilitation Practitioner | 1717 W Orangewood Ave, Orange, CA 92868-2040 | 2009-10-28 |
| 1184857724 | Joseph J Palau | Rehabilitation Practitioner | 1717 W Orangewood Ave, #1, Orange, CA 92868-2040 | 2009-08-31 |
| 1225208796 | Tanya Smith | Rehabilitation Practitioner | 1717 W Orangewood Ave, Suite I, Orange, CA 92868-2040 | 2008-03-11 |
| 1376713057 | William D Gonzalez | Rehabilitation Practitioner | 1717 W Orangewood Ave, Suite I, Orange, CA 92868-2040 | 2008-03-10 |
| 1518137322 | Warren Longacre | Rehabilitation Practitioner | 1717 W Orangewood Ave, Suite I, Orange, CA 92868-2040 | 2008-03-07 |
| 1003086836 | Thuy Truong | Rehabilitation Practitioner | 1717 W Orangewood Ave, Suite I, Orange, CA 92868-2040 | 2008-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859386 | Sadaf Abrishami | Pharmacist | 101 The City Dr S., Orange, CA 92868 | 2020-07-27 |
| 1245869825 | Helena Yijia Hong | Student in an Organized Health Care Education/Training Program | Uci Medical Center, 101 The City Drive, Orange, CA 92868 | 2020-04-06 |
| 1932736527 | Joshua Kristopher Livingston | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Rte. 128-01, Orange, CA 92868 | 2020-03-24 |
| 1831725894 | Michelle Brown | Student in an Organized Health Care Education/Training Program | 101 The City Dr S. Rte 128-01, Orange, CA 92868 | 2020-03-20 |
| 1093363491 | Kristin Lee | Pharmacist | 132 S. Anita Dr., Orange, CA 92868 | 2019-08-28 |
| 1740834217 | Matthew Brian Mecheal | Dentist | 725 W. La Veta Suite 260, Orange, CA 92868 | 2019-08-01 |
| 1245897990 | Brent Tyler Louie | Student in an Organized Health Care Education/Training Program | 101 The City Drive South Building 3, Route 88, Neuropsychiatric Center Uc Irvine Medical Center, Orange, CA 92868 | 2019-05-28 |
| 1093277972 | Danielle Amato | Student in an Organized Health Care Education/Training Program | Uc Irvine Health 101 The City Drive, City Tower, Ste 40, Orange, CA 92868 | 2019-04-01 |
| 1851852206 | Julia Ting Bu | Student in an Organized Health Care Education/Training Program | Uc Irvine Health, 101 The City Drive, City Tower, Ste 400, Orange, CA 92868 | 2019-03-28 |
| 1326507344 | Harrison Beene Lowder | Student in an Organized Health Care Education/Training Program | 505 S. Main St, Suite 525, Orange, CA 92868 | 2019-03-19 |
| Find all providers in zip 92868 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063061927 | Neighbours-inc | Community/Behavioral Health | 412 S Valley Rd Fl 2, Orange, NJ 07050-1323 | 2019-09-04 |
| 1518446905 | Alan Lawrence | Community/Behavioral Health | 339 Park Ave Apt 3e, Orange, NJ 07050-2867 | 2018-08-07 |
| 1851879688 | Jasmin Bahena | Community/Behavioral Health | 817 W Westway Ave, Orange, CA 92865-2533 | 2018-08-02 |
| 1891273223 | Berlyn Gasporra | Community/Behavioral Health | 270 W Sparkleberry Ave, Orange, CA 92865-5012 | 2018-07-28 |
| 1801244876 | Urban Truth LLC | Community/Behavioral Health | 402 Valley St, Orange, NJ 07050-1321 | 2016-05-31 |
| 1679953319 | Serenity Living Inc | Community/Behavioral Health | 29 William St, 1st Floor, Orange, NJ 07050-4010 | 2015-06-08 |
| 1245675818 | Acm, Inc. | Community/Behavioral Health | 265 S Anita Dr Ste 117, Orange, CA 92868-3341 | 2013-05-08 |
| 1073863056 | Illumination Foundation | Community/Behavioral Health | 1091 N Batavia St, Orange, CA 92867 | 2012-09-17 |
| 1598054728 | Recovery Innovations Inc | Community/Behavioral Health | 171 S Anita Dr, Suite 100, Orange, CA 92868-3319 | 2011-03-28 |
| 1124201462 | Cross Counter, Inc | Community/Behavioral Health | 399 Heywood Ave, Orange, NJ 07050-2006 | 2007-12-10 |
| Find all providers in ORANGE | ||||
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| 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.