PACIFIC CLINICS (NPI# 1831642453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831642453 |
| Entity Type | Organization |
| Organization Name | PACIFIC CLINICS |
| Practice Address |
800 S Santa Anita Ave Arcadia CA 91006-3536 |
| Mailing Address |
705 W 102nd St Los Angeles CA 90044-4531 |
| Practice Telephone | 6262545000 |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2016-08-01 |
| Authorized Official Name | BRIGITTE J RODRIGUEZ (MENTAL HEALTH WORKER) |
| Authorized Official Telephone | 6617189155 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PACIFIC CLINICS | 800 S Santa Anita Ave, Arcadia, CA 91006-3536 |
| Street Address |
800 S SANTA ANITA AVE |
| City | ARCADIA |
| State | CA |
| Zip Code | 91006-3536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285655670 | Gaston H. Nguyen | Psychologist | 800 S Santa Anita Ave, Arcadia, CA 91006-3536 | 2006-07-21 |
| 1467928754 | Bernard Isaac Taesali | Case Manager/Care Coordinator | 800 S Santa Anita Ave, Arcadia, CA 91006-3536 | 2018-10-15 |
| 1528533361 | Daquinnise Laurena Woodard | Counselor | 800 S Santa Anita Ave, Arcadia, CA 91006-3536 | 2018-10-08 |
| 1750887105 | Ron Michael Sutton | Case Manager/Care Coordinator | 800 S Santa Anita Ave, Arcadia, CA 91006-3536 | 2018-04-04 |
| 1659803047 | Joe Muniz | Counselor | 800 S Santa Anita Ave, Arcadia, CA 91006-3536 | 2017-04-03 |
| 1962948190 | Julie Vital | Case Manager/Care Coordinator | 800 S Santa Anita Ave, Arcadia, CA 91006-3536 | 2017-01-11 |
| 1073057196 | Emily Lauren Frank | Counselor | 800 S Santa Anita Ave, Arcadia, CA 91006-3536 | 2016-12-08 |
| 1184173130 | Michelle R Bruce | Case Manager/Care Coordinator | 800 S Santa Anita Ave, Arcadia, CA 91006-3536 | 2016-09-30 |
| 1790137362 | Heidy Odili Salguero-ruano | Counselor | 800 S Santa Anita Ave, Arcadia, CA 91006-3536 | 2016-07-07 |
| 1679948582 | Richard Russell | Case Manager/Care Coordinator | 800 S Santa Anita Ave, Arcadia, CA 91006 | 2015-12-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225510696 | Sheri Shanese Calhoun | Social Worker | 330 E. Live Oak Avenue, Arcadia, CA 91006 | 2018-09-03 |
| 1083129639 | Song Han | Acupuncturist | 14 El Dorado Street, Suite 15, Arcadia, CA 91006 | 2017-12-05 |
| 1154842177 | Cathleen Noel Walsh | Nurse Practitioner | 815 E. Longden Ave, Arcadia, CA 91006 | 2017-06-29 |
| 1881146512 | Mitchell Gee | Pharmacist | 2124 Highland Oaks Dr, Arcadia, CA 91006 | 2016-10-28 |
| 1487003059 | Michael Stewart | Case Manager/Care Coordinator | 800 S. Santa Anita Ave., Arcadia, CA 91006 | 2016-06-06 |
| 1639525983 | Alex Yu | Chiropractor | 202 S. First Ave, Arcadia, CA 91006 | 2016-05-05 |
| 1447637731 | Angel Care Hospice of Arcadia, Inc. | Respite Care | 4115 E Live Oak Ave, Arcadia, CA 91006 | 2015-05-06 |
| 1588050678 | Joel Lim | Internal Medicine | 440 E Huntington Dr Ste 200, Arcadia, CA 91006 | 2015-04-15 |
| 1427497981 | White Wings Hospice Inc | Hospice Care, Community Based | 333 N Santa Anita Ave Ste 5, Arcadia, CA 91006 | 2013-06-18 |
| 1649511551 | Margaret Lihani | Social Worker | 41 E. Foothill Blvd., Suite 200-a, Arcadia, CA 91006 | 2013-03-04 |
| Find all providers in zip 91006 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841844313 | Donyetta Patrice Jackson | Case Manager/Care Coordinator | 2542 4th Street Apt 193, Arcadia, LA 71001 | 2019-08-01 |
| 1356819858 | Jacqueline Willis | Case Manager/Care Coordinator | 137 Willett Rd, Arcadia, LA 71001-5624 | 2018-11-02 |
| 1063961555 | Vy Tuong Ly | Case Manager/Care Coordinator | 905 S Golden West Ave Apt B, Arcadia, CA 91007-8816 | 2016-09-26 |
| 1871047340 | Mourad Nasralla | Case Manager/Care Coordinator | 301 E Foothill Blvd Ste 100, Arcadia, CA 91006-2551 | 2016-08-12 |
| 1487003059 | Michael Stewart | Case Manager/Care Coordinator | 800 S. Santa Anita Ave., Arcadia, CA 91006 | 2016-06-06 |
| 1356701585 | Cussandra Felton-johnson | Case Manager/Care Coordinator | 1217 Crawford St, Arcadia, LA 71001 | 2016-03-01 |
| 1326410614 | Elisha Collinsworth | Case Manager/Care Coordinator | 1921 N Railroad Ave, Arcadia, LA 71001 | 2015-10-26 |
| 1093013823 | Judith Nieto | Case Manager/Care Coordinator | 12310 Lower Azusa Road, Arcadia, CA 91006-5872 | 2011-03-02 |
| 1306148812 | La Tesia Wilson | Case Manager/Care Coordinator | 12310 Lower Azusa Rd, Arcadia, CA 91006-5872 | 2010-12-03 |
| 1063013464 | Breanna Wayne | Case Manager/Care Coordinator | 1564 Hazel St, Arcadia, LA 71001-4106 | 2020-11-03 |
| Find all providers in ARCADIA | ||||
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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.