PACIFIC CLINICS (NPI# 1306017702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306017702 |
| Entity Type | Organization |
| Organization Name | PACIFIC CLINICS |
| Other Organization Name | PACIFIC CLINICS RANCHO TAY CENTER |
| Practice Address |
9047 Arrow Rte Suite 170 Rancho Cucamonga CA 91730-4449 |
| Mailing Address |
800 S Santa Anita Ave Arcadia CA 91006-6853 |
| Practice Telephone | 9094668696 |
| Practice Fax Number | 9099480457 |
| Mailing Telephone | 6262545000 |
| Mailing Fax Number | 6262941077 |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2011-07-22 |
| Authorized Official Name | DR. SUSAN MANDEL (PRESIDENT/CEO) |
| Authorized Official Telephone | 6262545000 |
| Authorized Official Credential | PH.D. |
| 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 | 36D2 | 05 |
| Other Name | Type Code |
|---|---|
| Pacific Clinics Rancho TAY Center | 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 |
9047 ARROW RTE SUITE 170 |
| City | RANCHO CUCAMONGA |
| State | CA |
| Zip Code | 91730-4449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417097072 | Douglas A Kitchen | Marriage & Family Therapist | 9047 Arrow Rte, Sutie 170, Rancho Cucamonga, CA 91730-4449 | 2007-02-06 |
| 1245584523 | Verneeda Chantice Mccall | Rehabilitation Practitioner | 9047 Arrow Rte, Rancho Cucamonga, CA 91730-4449 | 2012-11-07 |
| 1487929725 | Ana Teresa Flores | Case Manager/Care Coordinator | 9047 Arrow Rte, Suite 170, Rancho Cucamonga, CA 91730-4449 | 2012-03-20 |
| 1396015210 | Monica Molina | Licensed Psychiatric Technician | 9047 Arrow Rte, Rancho Cucamonga, CA 91730 | 2012-01-09 |
| 1093092959 | Brian Keith Ragland | Licensed Psychiatric Technician | 9047 Arrow Rte, Suite170, Rancho Cucamonga, CA 91730-4449 | 2011-11-07 |
| 1104113778 | Sheldon Troy Anderson | Rehabilitation Counselor | 9047 Arrow Rte, Suite 170, Rancho Cucamonga, CA 91730-4449 | 2011-07-05 |
| 1154626232 | Misti D Palmer | Licensed Psychiatric Technician | 9047 Arrow Rte, Rancho Cucamonga, CA 91730-4449 | 2011-01-20 |
| 1770811648 | Timothy Loaiza | Rehabilitation Practitioner | 9047 Arrow Rte, Rancho Cucamonga, CA 91730-4449 | 2009-12-03 |
| 1023256328 | Lauren Kathryn Noble | Rehabilitation Practitioner | 9047 Arrow Rte, 170, Rancho Cucamonga, CA 91730-4449 | 2009-01-26 |
| 1023267804 | Keisha Marshall | Marriage & Family Therapist | 9047 Arrow Rte, Suite 170, Rancho Cucamonga, CA 91730-4449 | 2008-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932722444 | Alliancerx Health Solutions, LLC. | Clinical Medical Laboratory | 9431 Haven Ave, Suite 100 #376, Rancho Cucamonga, CA 91730 | 2020-05-19 |
| 1346860194 | Wecare Dialysis Center | Clinic/Center | 8591 Grove Ave, Rancho Cucamonga, CA 91730 | 2020-04-22 |
| 1982235263 | Mel Latone Family Counseling, Inc. | Marriage & Family Therapist | 9033 Base Line Road, Suite M, Rancho Cucamonga, CA 91730 | 2020-01-27 |
| 1205471240 | Breena Nakamoto | Social Worker | 9645 Arrow Route, Building 5, Suite A, Rancho Cucamonga, CA 91730 | 2019-11-13 |
| 1497300180 | Laura Estela Le | Behavior Technician | 8350 Archilbald Ave Ste 110, Rancho Cucamonga, CA 91730 | 2019-08-08 |
| 1336792100 | Swan Psychological Services, Inc. | Psychologist | 8333 E. Foothill Blvd., Suite 109, Rancho Cucamonga, CA 91730 | 2019-07-22 |
| 1568023745 | Mariah Wright | Behavior Technician | 10532 Arcacia St, B-11, Rancho Cucamonga, CA 91730 | 2019-06-27 |
| 1770140378 | Amanda Ware | Clinic/Center | 9333 Fairway View Place Suite 101, Rancho Cucamonga, CA 91730 | 2019-05-20 |
| 1265995435 | Collaborative Autism Management Programs Inc. | Community/Behavioral Health | 9360 Santa Anita Ave Ste 104, Rancho Cucamonga, CA 91730 | 2019-04-12 |
| 1700361326 | Brittany Rhone | Behavioral Analyst | 933 Baseline Rd, Rancho Cucamonga, CA 91730 | 2018-09-28 |
| Find all providers in zip 91730 | ||||
| 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 |
|---|---|---|---|---|
| 1770181778 | Elvia Cortes | Community/Behavioral Health | 6323 Sloane Ct, Rancho Cucamonga, CA 91739-2255 | 2020-10-12 |
| 1699301978 | Healing Logos Christian Family Counseling, Inc. | Community/Behavioral Health | 9567 Arrow Rte Ste P, Rancho Cucamonga, CA 91730-4550 | 2020-03-18 |
| 1063061117 | County of San Bernardino | Community/Behavioral Health | 9445 Fairway View Pl Ste 110, Rancho Cucamonga, CA 91730-0930 | 2019-09-10 |
| 1265995435 | Collaborative Autism Management Programs Inc. | Community/Behavioral Health | 9360 Santa Anita Ave Ste 104, Rancho Cucamonga, CA 91730 | 2019-04-12 |
| 1548724313 | Counseling & Research Associates, Inc. | Community/Behavioral Health | 11850 Sebastian Way Ste 104, Rancho Cucamonga, CA 91730-0703 | 2019-01-25 |
| 1841709193 | Living Hope Counseling Center | Community/Behavioral Health | 9650 Business Center Dr Ste 107, Rancho Cucamonga, CA 91730-4536 | 2017-09-28 |
| 1053861922 | West End Family Counseling Service | Community/Behavioral Health | 9445 Fairway View Pl Ste 100, Rancho Cucamonga, CA 91730-0930 | 2016-10-04 |
| 1255716056 | Steven H Troyer | Community/Behavioral Health | 11725 Rapallo Dr, Rancho Cucamonga, CA 91701-8641 | 2015-07-22 |
| 1881081362 | Cucamonga Counseling | Community/Behavioral Health | 9565 Business Center Dr Ste C, Rancho Cucamonga, CA 91730-4560 | 2015-04-22 |
| 1194157008 | National Mentor Healthcare, LLC | Community/Behavioral Health | 9166 Anaheim Pl Ste 200, Rancho Cucamonga, CA 91730-8547 | 2013-08-01 |
| Find all providers in RANCHO CUCAMONGA | ||||
| City | RANCHO CUCAMONGA |
| Zip Code | 91730 |
Please comment or provide details below to improve the information on PACIFIC CLINICS.
| 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.