PACIFICA HEALTH FOUNDATION (NPI# 1356998272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356998272 |
| Entity Type | Organization |
| Organization Name | PACIFICA HEALTH FOUNDATION |
| Practice Address |
1300 N Vermont Ave Los Angeles CA 90027-6098 |
| Mailing Address |
3731 Wilshire Blvd Los Angeles CA 90010-2830 |
| Practice Telephone | 2139134853 |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2019-08-26 |
| Authorized Official Name | DR. MATTHEW CHAN (OWNER) |
| Authorized Official Telephone | 9044294188 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
1300 N VERMONT AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90027-6098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962498410 | Raed Bargout | Internal Medicine | 1300 N Vermont Ave, 401, Los Angeles, CA 90027-6005 | 2005-09-21 |
| 1447878095 | Michelle Valdez Labao | Nurse Practitioner | 1300 N Vermont Ave, Los Angeles, CA 90027-6098 | 2020-07-09 |
| 1265059638 | Parveen Kaur Md Inc | Internal Medicine | 1300 N Vermont Ave, Los Angeles, CA 90027-6098 | 2020-07-01 |
| 1336769728 | Anna Longuryan | Registered Nurse | 1300 N Vermont Ave, Los Angeles, CA 90027-6098 | 2020-04-25 |
| 1700410438 | Nicole Hilary Jaucian Valdez | Physician Assistant | 1300 N Vermont Ave, Los Angeles, CA 90027 | 2020-03-03 |
| 1457990087 | Ani Nairi Narinyan | Pharmacist | 1300 N Vermont Ave, Los Angeles, CA 90027-6098 | 2019-12-30 |
| 1700341427 | Andrea Vasquez | Nurse Practitioner | 1300 N Vermont Ave, Los Angeles, CA 90027-6098 | 2019-02-06 |
| 1205391356 | Antoine Vernell Taylor Sr. | Emergency Medicine | 1300 N Vermont Ave, Los Angeles, CA 90027-6098 | 2019-02-04 |
| 1568936268 | Marianna Muradyan | Pharmacist | 1300 N Vermont Ave, Los Angeles, CA 90027-6098 | 2019-01-15 |
| 1477023687 | Quinn Wonders | Pharmacist | 1300 N Vermont Ave, Los Angeles, CA 90027-6098 | 2018-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326653593 | Lamia Binhuwaishel | Student in an Organized Health Care Education/Training Program | 4650 Sunset Blvd, Craniofacial and Special Needs Ortho, Los Angeles, CA 90027 | 2020-09-14 |
| 1285242594 | Rocio Jimenez | Case Manager/Care Coordinator | 4650 Sunset Blvd, Mailstop #53, Los Angeles, CA 90027 | 2020-07-22 |
| 1558984799 | Integrative Endodontics, Inc | Dentist | 10850 Wilshine Blvd Ste 301, Los Angeles, CA 90027 | 2020-05-22 |
| 1104450295 | Sarayana Sercarz | Marriage & Family Therapist | 4080 Woking Way, Los Angeles, CA 90027 | 2020-02-27 |
| 1457991143 | George Michaiel | Pediatrics | 4650 Sunset Blvd., Ms #54, Los Angeles, CA 90027 | 2020-01-09 |
| 1477199297 | Molly Rose Holmes | Marriage & Family Therapist | 3901 Los Feliz Boulevard, #303, Los Angeles, CA 90027 | 2019-11-27 |
| 1588206171 | Dental Help Solutions, LLC | Dentist | 4606 Hollywood Blvd, Suite A, Los Angeles, CA 90027 | 2019-10-15 |
| 1457905986 | Carmen L Ponce | Physical Therapy Assistant | 4867 Sunset Ave, Los Angeles, CA 90027 | 2019-08-01 |
| 1447729009 | Matthew Mendoza | Respiratory Therapist, Registered | 4867 Sunset Blvd, Los Angeles, Ca, Los Angeles, CA 90027 | 2018-11-13 |
| 1659856284 | Leticia Mendez | Nurse Practitioner | 1300 N Vermont Ave 606, Los Angeles, CA 90027 | 2018-09-29 |
| Find all providers in zip 90027 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295240679 | Robert A Brooks | Preventive Medicine | 149 South Barrington Ave, #346, Los Angeles, CA 90049 | 2017-12-07 |
| 1104355783 | Susan Bradshaw | Preventive Medicine | 6320 W Howard Drollinger Way Ste 203, Los Angeles, CA 90045-3627 | 2017-06-07 |
| 1053757831 | Natasha Narayan | Preventive Medicine | 400 World Way, Los Angeles, CA 90045-5888 | 2013-05-20 |
| 1699936559 | Frank Davis Gilliland | Preventive Medicine | 1540 Alcazar St, Chp 236, Los Angeles, CA 90089-0080 | 2008-06-23 |
| 1588857965 | Immediate Medical Care | Preventive Medicine | 434 S San Vicente Blvd, Los Angeles, CA 90048-4108 | 2007-08-20 |
| 1518171826 | Matthew Christopher Sies | Preventive Medicine | 5525 W Slauson Ave, Los Angeles, CA 90056-1047 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750911665 | Healthstat Wellness Sutter County | Preventive Medicine | 1215 Plumas St Ste 1300a, Yuba City, CA 95991-3400 | 2020-01-20 |
| 1194373530 | Healthstat Wellness County of Santa Barbara Headquarters | Preventive Medicine | 427 Camino Del Remedio Bldg G, Santa Barbara, CA 93110-1310 | 2019-08-29 |
| 1023678661 | Linda K Watanabe | Preventive Medicine | 700 Bay Rd. #2803, Redwood City, CA 94063 | 2019-06-17 |
| 1750872255 | Universal Occupational Medicine PC | Preventive Medicine | 8303 Brimhall Rd Bldg 1500, Bakersfield, CA 93312-2243 | 2018-05-21 |
| 1831694272 | Healthstat Wellness County Sb Headquarters | Preventive Medicine | 2500 Broadway Ste 400, Santa Monica, CA 90404-3176 | 2018-03-28 |
| 1326548363 | Paul Manchester | Preventive Medicine | 11159 Corte Pleno Verano, San Diego, CA 92130-2688 | 2018-02-16 |
| 1285145383 | Brett V. Curtis M.d. & Associates, A Professional Corporation | Preventive Medicine | 7428 Redwood Blvd Ste 100, Novato, CA 94945-2418 | 2017-10-16 |
| 1386097806 | Healthstat Wellness Bac Madera | Preventive Medicine | 15341 Road 28 1/2, Madera, CA 93638-2325 | 2016-07-20 |
| 1982050936 | Mary Frances Mcdaniel | Preventive Medicine | 1608 Pacific Ave, Suite 201, Venice, CA 90291-5112 | 2016-05-09 |
| 1184006744 | Healthstat Wellness Butte Oroville | Preventive Medicine | 1876 Bird St, Healthstat Clinic, Oroville, CA 95965-4855 | 2015-06-19 |
| Find all providers with the same taxonomy | ||||
| City | LOS ANGELES |
| Zip Code | 90027 |
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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.