PEARL PACHECO (NPI# 1730636515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730636515 |
| Entity Type | Individual |
| Full Name | PEARL PACHECO |
| Practice Address |
15803 Saticoy St Apt 30 Van Nuys CA 91406-3132 |
| Practice Telephone | 8186870305 |
| Mailing Telephone | 8186870305 |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2016-12-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 174400000X | Specialist | Other Service Providers | ||
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
15803 SATICOY ST APT 30 |
| City | VAN NUYS |
| State | CA |
| Zip Code | 91406-3132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629628953 | Elizabeth Leon Sanchez | Marriage & Family Therapist | 16360 Van Nuys Blvd, Van Nuys, CA 91406 | 2019-09-18 |
| 1720573926 | Kina Dennis | Specialist/Technologist | 17216 Saticoy Street, 609, Van Nuys, CA 91406 | 2018-06-29 |
| 1902398951 | Roland Hinds | Rehabilitation Practitioner | 16360 Roscoe Blvd # 2, Van Nuys, CA 91406 | 2018-06-05 |
| 1528576691 | Vyacheslav Alec Pekler | Naturopath | 7025 Adea Ave, Lake Balboa, CA 91406 | 2018-01-11 |
| 1366960999 | Gentle Ride LLC Dba Safeaid | Non-emergency Medical Transport (VAN) | 6747 Odessa Ave Ste 101, Van Nuys, CA 91406 | 2017-09-04 |
| 1396265252 | Developmental Pathways, Inc. | Physical Therapist | 7120 Hayvenhurst Ave Ste 308, Van Nuys, CA 91406 | 2017-06-22 |
| 1952850729 | Leisure Village, Inc | Assisted Living Facility | 6726 1/2 Gaviota Ave., Lake Balboa, CA 91406 | 2016-09-22 |
| 1689037426 | Mahnaz Rashidimoakhar | Physical Therapy Assistant | 6452 Woodley Ave, Unit 4, Van Nuys, CA 91406 | 2016-03-30 |
| 1306264205 | Angel Hospice Care, Inc. | Hospice Care, Community Based | 16114 Hart St, Van Nuys, CA 91406 | 2014-03-29 |
| 1871924589 | Well Care Transport, Inc. | Non-emergency Medical Transport (VAN) | 6525 Woodley Ave. Unit #205, Lake Balboa, CA 91406 | 2013-12-05 |
| Find all providers in zip 91406 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082202 | Brenda Vargas | Rehabilitation Practitioner | 16650 Sherman Way # 201, Van Nuys, CA 91406-3782 | 2020-08-07 |
| 1235601014 | Katherine Buckley | Rehabilitation Practitioner | 5900 Sepulveda Blvd Ste 104, Van Nuys, CA 91411-2511 | 2018-12-18 |
| 1902398951 | Roland Hinds | Rehabilitation Practitioner | 16360 Roscoe Blvd # 2, Van Nuys, CA 91406 | 2018-06-05 |
| 1710478581 | Adriana Abraamyan | Rehabilitation Practitioner | 14515 Hamlin St Ste 103, Van Nuys, CA 91411 | 2018-05-28 |
| 1578050290 | Keren Khait | Rehabilitation Practitioner | 6501 Van Nuys Blvd # 103, Van Nuys, CA 91401-1425 | 2018-04-18 |
| 1083115844 | Stephanie Kurowski | Rehabilitation Practitioner | 14515 Hamlin St Ste 201, Van Nuys, CA 91411-1608 | 2018-02-26 |
| 1902328693 | Jeffrey Kohn | Rehabilitation Practitioner | 14600 Sherman Way Ste 100-d, Van Nuys, CA 91405-2283 | 2017-07-13 |
| 1497286025 | Jessenia Tovar | Rehabilitation Practitioner | 16650 Sherman Way Ste 200, Van Nuys, CA 91406-3782 | 2017-03-24 |
| 1841730504 | Maria Montoya | Rehabilitation Practitioner | 6330 Halbrent Ave, Van Nuys, CA 91411-1914 | 2017-02-28 |
| 1013460427 | Lizbeth Avila | Rehabilitation Practitioner | 8133 Sepulveda Blvd, 103, Van Nuys, CA 91402-4345 | 2016-08-02 |
| Find all providers in VAN NUYS | ||||
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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.