PACIFIC BREAST CARE CENTER (NPI# 1336521228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336521228 |
| Entity Type | Organization |
| Organization Name | PACIFIC BREAST CARE CENTER |
| Practice Address |
1640 Newport Blvd Suite 200 Costa Mesa CA 92627-3786 |
| Mailing Address |
Po Box 513255 Los Angeles CA 90051-3255 |
| Practice Telephone | 9495153544 |
| Practice Fax Number | 9494566216 |
| Mailing Telephone | 7144563851 |
| Mailing Fax Number | 7144566216 |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2015-06-26 |
| Authorized Official Name | DR. MANUEL PORTO (INTERIM PRESIDENT) |
| Authorized Official Telephone | 7144562986 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | REGENTS OF UNIVERSITY OF CALIFORNIA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144564469 | Pacific Breast Care Center | Clinic/Center | 1640 Newport Blvd Ste 200, Costa Mesa, CA 92627-3786 | 2012-11-27 |
| Street Address |
1640 NEWPORT BLVD SUITE 200 |
| City | COSTA MESA |
| State | CA |
| Zip Code | 92627-3786 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437152998 | Swati R. Gandhi | Pediatrics | 1640 Newport Blvd, Costa Mesa, CA 92627-3786 | 2005-05-27 |
| 1134628704 | Scott Andrew Carlton | Chiropractor | 1640 Newport Blvd, Ste 440, Costa Mesa, CA 92627-3786 | 2018-02-08 |
| 1407392145 | Uc Irvine Cancer Center - Newport | Clinic/Center | 1640 Newport Blvd, Suite 450, Costa Mesa, CA 92627-3786 | 2017-01-18 |
| 1770027518 | Uc Irvine Health Cancer Center- Newport | Clinic/Center | 1640 Newport Blvd, Suite 450, Costa Mesa, CA 92627-3786 | 2016-12-13 |
| 1861936601 | Pacific Cddc | Clinic/Center | 1640 Newport Blvd, Suite 350, Costa Mesa, CA 92627-3786 | 2016-12-13 |
| 1952845794 | Pacific Cddc | Clinic/Center | 1640 Newport Blvd, Suite 350, Costa Mesa, CA 92627-3786 | 2016-12-13 |
| 1043665615 | Trilogy Eye Medical Group, Inc. | Optometrist | 1640 Newport Blvd, 220, Costa Mesa, CA 92627-3786 | 2016-05-02 |
| 1942654439 | Uc Irvine Health Dermatology Services | Clinic/Center | 1640 Newport Blvd, Suite 240, Costa Mesa, CA 92627-3786 | 2016-04-20 |
| 1801257803 | Pacific Surgery Center | Clinic/Center | 1640 Newport Blvd, Suite 100, Costa Mesa, CA 92627-3786 | 2016-03-18 |
| 1124402284 | Pacific Cddc | Clinic/Center | 1640 Newport Blvd, Suite 350, Costa Mesa, CA 92627-3786 | 2015-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407174 | Ryan Allen Merrell | Technician | 313 E. 17th Pl #l Costa Mesa, Costa Mesa, CA 92627 | 2020-11-04 |
| 1245703412 | Allure Transportation | Non-emergency Medical Transport (VAN) | 1835 Newport Blvd Ste 109 #110, Costa Mesa, CA 92627 | 2019-01-09 |
| 1750857686 | Living Success Center | Marriage & Family Therapist | 445 E. 17th Street, Suites D & E, Costa Mesa, CA 92627 | 2018-10-18 |
| 1790298909 | Akua Behavioral Health, Inc | Substance Abuse Rehabilitation Facility | 319-a University Drive, Costa Mesa, CA 92627 | 2017-11-09 |
| 1679086862 | Akua Behavioral Health, Inc | Substance Abuse Rehabilitation Facility | 319-b University Drive, Costa Mesa, CA 92627 | 2017-11-09 |
| 1245759018 | Surgical Assistant Associates | Clinic/Center | 186 E. 16th Street, Suite C, Costa Mesa, CA 92627 | 2017-09-13 |
| 1366962334 | Guadalupe A. Mejia Dental Corp. | Dentist | 700 W 19th St., Suite C, Costa Mesa, CA 92627 | 2017-06-21 |
| 1386189033 | Jian Yi Ye | Acupuncturist | 2488 Newport Blvd Ste B1, Costa Mesa, CA 92627 | 2017-01-04 |
| 1144764606 | Michele Marie Patton | Dental Hygienist | 2220 Fairview Rd., Costa Mesa, CA 92627 | 2016-12-18 |
| 1881148500 | Valerie Nguyen | Pharmacist | 1835 Newport Blvd # C, Costa Mesa, CA 92627 | 2016-08-10 |
| Find all providers in zip 92627 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245759018 | Surgical Assistant Associates | Clinic/Center | 186 E. 16th Street, Suite C, Costa Mesa, CA 92627 | 2017-09-13 |
| 1134669674 | Jessica Rose Siani, Naturopathic Doctor, Inc. | Clinic/Center | 1831 Orange Ave, Ste A, Costa Mesa, CA 92627-2839 | 2017-03-02 |
| 1104970656 | Patrick Chen | Clinic/Center | 1550 Superior Ave, Costa Mesa, CA 92627-3653 | 2007-01-22 |
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| 1134736705 | Boston Medical Center Inc | Clinic/Center | 960 E Green St Ste 101, Pasadena, CA 91106-2401 | 2020-09-28 |
| 1215541628 | Pacific Care II | Clinic/Center | 1024 Jayhawk Way, Modesto, CA 95358-6714 | 2020-09-02 |
| 1316557358 | Breathe Thermae, Inc. | Clinic/Center | 200 S Cahuilla Rd, Palm Springs, CA 92262-6334 | 2020-08-04 |
| 1497363212 | Joana Anjeh Tala | Clinic/Center | 2951 Hampshire Cir, Corona, CA 92879-6133 | 2020-07-17 |
| 1376160580 | Beyond Practice, Inc. | Clinic/Center | 300 W Ocean Blvd Apt 6114, Long Beach, CA 90802-8029 | 2020-07-03 |
| 1205452315 | Affection Healthcare LLC | Clinic/Center | 1641 North Ripon Road, Ripon, CA 95366 | 2020-06-24 |
| 1467074963 | Onclick Healthcare Incorporated | Clinic/Center | 2625 Townsgate Rd Ste 330, Westlake Village, CA 91361-5749 | 2020-05-07 |
| 1811517832 | D.e. Garrison, D.o., Inc. | Clinic/Center | 3209 Esplanade Ste 120, Chico, CA 95973-0154 | 2020-04-20 |
| Find all providers with the same taxonomy | ||||
| City | COSTA MESA |
| Zip Code | 92627 |
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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.