WESTERN PACIFIC MED-CORP


Address: 218 E Commonwealth Ave, Fullerton, CA 92832-1911
Phone: 8189563737

WESTERN PACIFIC MED-CORP (NPI# 1750423620) 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) 1750423620
Entity Type Organization
Organization Name WESTERN PACIFIC MED-CORP
Practice Address 218 E Commonwealth Ave
Fullerton
CA 92832-1911
Mailing Address 4544 San Fernando Rd
Suite 202
Glendale
CA 91204-1987
Practice Telephone 8189563737
Enumeration Date 2007-02-13
Last Update Date 2015-09-28
Authorized Official Name MARK HICKMAN (C.E.O.)
Authorized Official Telephone 8189563737
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2800X Clinic/Center
Specialization: Methadone Clinic
30-11 CA Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CA MEDICAL PROVIDER CMM70208F 01
CA DRUG MEDICAL PROVIDER 3099 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1386280899 Western Pacific Med-corp Clinic/Center 26921 Crown Valley Pkwy Ste 200, Mission Viejo, CA 92691-6501 2019-11-19
1235272196 Western Pacific Med-corp Clinic/Center 14332 Victory Blvd, Van Nuys, CA 91401-1944 2007-02-14
1942342811 Western Pacific Med-corp Clinic/Center 10751 Dale Ave, Stanton, CA 90680-2604 2007-02-13
1669514527 Western Pacific Med-corp Clinic/Center 7232 Canby Ave, Suites 4,5,6, Reseda, CA 91335-3006 2007-02-13
1790827657 Western Pacific Med-corp Clinic/Center 45335 Sierra Hwy, Lancaster, CA 93534-1611 2007-02-13
1376685230 Western Pacific Med-corp Clinic/Center 9462 Van Nuys Blvd, Panorama City, CA 91402-1310 2007-02-13
1780726653 Western Pacific Med-corp Clinic/Center 11902 Rosecrans Ave, Norwalk, CA 90650-4197 2007-02-13
1003958976 Western Pacific Med-corp Clinic/Center 955 E Thompson Blvd, Ventura, CA 93001-3008 2007-02-13
1235271180 Western Pacific Med-corp Clinic/Center 4544 San Fernando Rd, Suite 201, Glendale, CA 91204-1987 2007-02-13
1124160080 Western Pacific Med-corp Clinic/Center 4838 Laurel Canyon Blvd, North Hollywood, CA 91607-3717 2007-02-13

Office Location

Street Address 218 E COMMONWEALTH AVE
City FULLERTON
State CA
Zip Code 92832-1911

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184270720 Emilio Lopez Counselor 218 E Commonwealth Ave, Fullerton, CA 92832-1911 2019-08-09
1548823362 Kristin Huntress Counselor 218 E Commonwealth Ave, Fullerton, CA 92832-1911 2019-04-17
1154883155 Vicky Castorena Counselor 218 E Commonwealth Ave, Fullerton, CA 92832-1911 2019-04-01
1679039333 Kristine Callahan Counselor 218 E Commonwealth Ave, Fullerton, CA 92832-1911 2019-02-18
1245731827 Crystal Avelino Counselor 218 E Commonwealth Ave, Fullerton, CA 92832-1911 2018-02-28
1972003614 Kelly Campos Counselor 218 E Commonwealth Ave, Fullerton, CA 92832-1911 2018-02-20
1629577739 Omar Rizvi Counselor 218 E Commonwealth Ave, Fullerton, CA 92832-1911 2018-02-04
1750899456 Donna Bracken Counselor 218 E Commonwealth Ave, Fullerton, CA 92832-1911 2018-01-16
1386156347 Carmen Stanfield Counselor 218 E Commonwealth Ave, Fullerton, CA 92832-1911 2017-10-31
1326577107 Travis Griffin Counselor 218 E Commonwealth Ave, Fullerton, CA 92832-1911 2017-06-06
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932735669 Diana Hernandez Behavior Technician 413 W Commonwealth Ave, Suite C, Fullerton, CA 92832 2020-03-13
1942830013 Karen Marie Winkle Speech-Language Pathologist 812 Lois Lane, Fullerton, CA 92832 2020-01-17
1578122487 Andrea Arevalo Behavior Technician 713 Commonwealth Ave, Suite C, Fullerton, CA 92832 2019-06-13
1275090193 Madison Elizabeth Miller Behavior Technician 714 W Commonwealth Ave, Suite C, Fullerton, CA 92832 2019-02-27
1528525862 Samantha Rivas Behavior Technician 713 W Commonwealth Ave., Suite C, Fullerton, CA 92832 2019-02-22
1760948483 Marcus Gerard Chavez Behavioral Analyst 713 West Commonwealth Suite A, Fullerton, U.S.A 92832 2019-02-19
1710443437 Rolando Jimenez Behavior Technician 713 W. Commonwealth, Suite A, La Habra, CA 92832 2019-02-18
1659872919 Anthony James Arneson Marriage & Family Therapist 120 N Lawrence, Fullerton, CA 92832 2018-02-22
1407302243 Be Well Pharmacy Inc Pharmacy 105 N Lawrence Ave, Fullerton, CA 92832 2016-08-31
1871907972 Edward Walls Counselor 771 W.orangethorpe Ave., Fullerton, CA 92832 2014-06-17
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Taxonomy Information

Taxonomy Code 261QM2800X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Methadone Clinic

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922447812 Western Pacific Re-hab Clinic/Center 218 E Commonwealth Ave, Fullerton, CA 92832-1911 2013-06-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1083224141 Aegis Treatment Centers, LLC Clinic/Center 1450 Bessie Ave Ste B, Tracy, CA 95376-3456 2020-08-04
1093323222 City and County of San Francisco Clinic/Center 1001 Potrero Ave # Ward86, San Francisco, CA 94110-3518 2020-07-14
1548899644 Bella Team Ltd. Clinic/Center 2618 San Miguel Dr Ste 1288, Newport Beach, CA 92660-5437 2020-04-02
1386280899 Western Pacific Med-corp Clinic/Center 26921 Crown Valley Pkwy Ste 200, Mission Viejo, CA 92691-6501 2019-11-19
1518501527 Harmonic Solutions LLC Clinic/Center 1776 Ygnacio Valley Rd Ste 206, Walnut Creek, CA 94598-3125 2019-11-01
1326698887 Aegis Treatment Centers, LLC Clinic/Center 2107, 2109 & 2113 1st St, Eureka, CA 95501-0840 2019-09-17
1548819550 Aegis Treatment Centers, LLC Clinic/Center 1111 W Inyokern Rd Ste B, Ridgecrest, CA 93555-2370 2019-09-11
1306326699 Kristen Andree Rickard Clinic/Center 1153 Paradise Trail Rd, Chula Vista, CA 91915-2502 2018-08-16
1083141600 Baart Behavioral Health Services, Inc. Clinic/Center 1145 Market St Fl 10, San Francisco, CA 94103-1566 2017-05-13
1013448547 Coachella Valley Treatment Center Clinic/Center 81709 Dr Carreon Blvd Ste B1, Indio, CA 92201-5510 2017-03-26
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Competitor

Search similar providers

City FULLERTON
Zip Code 92832

Improve Information

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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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