PACIFIC CLINICS


Address: 1007 N Lake Ave, Pasadena, CA 91104-4521
Phone: 6264032794

PACIFIC CLINICS (NPI# 1346350659) 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) 1346350659
Entity Type Organization
Organization Name PACIFIC CLINICS
Other Organization Name PACIFIC CLINICS
Practice Address 1007 N Lake Ave
Pasadena
CA 91104-4521
Mailing Address 800 S Santa Anita Ave
Arcadia
CA 91006-6853
Practice Telephone 6264032794
Practice Fax Number 6264034898
Mailing Telephone 6262545000
Mailing Fax Number 6262941077
Enumeration Date 2006-08-30
Last Update Date 2016-08-29
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 7447 05

Other Provider/Organization Names

Other Name Type Code
Pacific Clinics 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 1007 N LAKE AVE
City PASADENA
State CA
Zip Code 91104-4521

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003210386 Chelsia Michelle Durkee Counselor 1007 N Lake Ave, Pasadena, CA 91104-4521 2014-10-15
1013342781 Tiffany Renee Ross Licensed Psychiatric Technician 1007 N Lake Ave, Pasadena, CA 91104-4521 2013-09-12
1790117760 Carlos Ramon Magana Jr. Licensed Psychiatric Technician 1007 N Lake Ave, Pasadena, CA 91104-4521 2013-08-01
1124466578 Kurt Kinsey Rehabilitation Practitioner 1007 N Lake Ave, Pasadena, CA 91104-4521 2013-06-07
1366783227 Gregory Leggett Rehabilitation Practitioner 1007 N Lake Ave, Pasadena, CA 91104-4521 2013-03-01
1891061925 Gwendolyn Johnson Rehabilitation Practitioner 1007 N Lake Ave, Pasadena, CA 91104-4521 2012-03-22
1285908996 Rachelle Marie Freeman Licensed Psychiatric Technician 1007 N Lake Ave, Pasadena, CA 91104-4521 2012-02-27
1205160389 Margaret Martin Rehabilitation Practitioner 1007 N Lake Ave, Pasadena, CA 91104-4521 2009-09-23
1063645620 Kirsten Ramirez Rehabilitation Practitioner 1007 N Lake Ave, Pasadena, CA 91104-4521 2009-08-31
1447489315 Jamie Lofton Rehabilitation Practitioner 1007 N Lake Ave, Pasadena, CA 91104-4521 2009-07-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093284382 Jack Lee Johnson II Counselor 1680 North Fair Oaks, Pasadena, CA 91104 2018-11-16
1699257055 Aqueelah Russell Lactation Consultant, Non-RN 855 N. Catalina Ave, Pasadena, CA 91104 2018-09-02
1053893529 Jordann Ashley Stewart Case Manager/Care Coordinator 691 East Washington Blvd, Pasadena, CA 91104 2018-08-31
1942789706 Elmer Caballero Case Manager/Care Coordinator 691 E Washington Blvd, Pasadena, CA 91104 2018-08-12
1649759648 Orlando Javier Sava Jr. Case Manager/Care Coordinator 1395 E. Orange Grove Blvd, Pasadena, CA 91104 2018-08-09
1669923611 Grandview Foundation, Inc. Substance Abuse Rehabilitation Facility 225 Grandview Street, Pasadena, CA 91104 2016-10-14
1255734166 Linhua Wang-kim Massage Therapist 1028 N. Lake Ave., Suite 108c, Pasadena, CA 91104 2014-10-06
1477893782 Med Tec Diagnostic Inc. Clinic/Center 1310 N. Mar Vista Unit 3, Pasadena, CA 91104 2013-02-22
1750631321 Gordon Sheldall Marriage & Family Therapist 1495 N Lake Avenue, Pasadena, CA 91104 2012-09-11
1699024521 Sherry Lynn Wait Marriage & Family Therapist 1495 N. Lake Ave., Pasadena, CA 91104 2012-09-06
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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 91104

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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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