PACIFIC CLINICS (NPI# 1912001934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912001934 |
| Entity Type | Organization |
| Organization Name | PACIFIC CLINICS |
| Other Organization Name | PACIFIC CLINICS ARROYO |
| Practice Address |
1020 S Arroyo Pkwy Pasadena CA 91105-3911 |
| Mailing Address |
800 S Santa Anita Ave Arcadia CA 91006-6853 |
| Practice Telephone | 6264032794 |
| Practice Fax Number | 6264034898 |
| Mailing Telephone | (626) 254-5000 |
| Mailing Fax Number | 6262941077 |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2017-10-05 |
| Authorized Official Name | JAMES J. BALLA (PRESIDENT & CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6262545000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 19AN | 05 | |
| CA | 7353 | 05 |
| Other Name | Type Code |
|---|---|
| PACIFIC C LINICS ARROYO | Other Name - Individual/Organization |
| Pacific Clinics Arroyo | Other Name - Individual/Organization |
| 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 |
1020 S ARROYO PKWY |
| City | PASADENA |
| State | CA |
| Zip Code | 91105-3911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467086322 | Victoria A Roelens | Counselor | 1020 S Arroyo Pkwy, Pasadena, CA 91105-3911 | 2020-02-28 |
| 1750912994 | Nathan Samuel Perdomo | Case Manager/Care Coordinator | 1020 S Arroyo Pkwy, Pasadena, CA 91105-3911 | 2020-01-27 |
| 1568093706 | Amanda Kathleen Pearson | Licensed Psychiatric Technician | 1020 S Arroyo Pkwy, Pasadena, CA 91105-3911 | 2020-01-27 |
| 1023652898 | Taylor Nicole Hannon | Licensed Psychiatric Technician | 1020 S Arroyo Pkwy, Pasadena, CA 91105-3911 | 2019-11-04 |
| 1437710878 | Mona Ghannoum | Rehabilitation Practitioner | 1020 S Arroyo Pkwy, Pasadena, CA 91105-3911 | 2019-06-26 |
| 1952960049 | Marisol Pizano | Case Manager/Care Coordinator | 1020 S Arroyo Pkwy, Pasadena, CA 91105-3911 | 2019-06-11 |
| 1366900417 | Nina Frances Muller | Case Manager/Care Coordinator | 1020 S Arroyo Pkwy, Pasadena, CA 91105-3911 | 2019-03-07 |
| 1376021667 | Rosa Isela Lazaro | Case Manager/Care Coordinator | 1020 S Arroyo Pkwy, Pasadena, CA 91105 | 2018-07-30 |
| 1982199881 | Shaileen Candie Martinez | Student in an Organized Health Care Education/Training Program | 1020 S Arroyo Pkwy, Pasadena, CA 91105-3911 | 2018-06-25 |
| 1225539372 | Celebrity Blockton-gonzalez | Counselor | 1020 S Arroyo Pkwy, Pasadena, CA 91105-3911 | 2018-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619451697 | Tonya Michlin | Registered Nurse | 800 Fairmount Ave Ste 110, Pasadena, CA 91105 | 2018-09-17 |
| 1639674161 | David Marcus Md, Inc. | Psychiatry & Neurology | 107 S. Fair Oaks Avenue, Suite #315, Pasadena, CA 91105 | 2018-03-27 |
| 1548778541 | Elias & Jun Dental Corp | Dentist | 301 S. Fair Oaks Ave., Ste 107, Pasadena, CA 91105 | 2018-01-12 |
| 1013429745 | Whitney Catalano | Dietitian, Registered | 100 S Orange Grove Blvd, 103, Pasadena, CA 91105 | 2017-11-03 |
| 1518485630 | Marlon O Miller | Counselor | 1020 South Arroyo Parkway, Pasadena, CA 91105 | 2017-09-08 |
| 1316469976 | Alexandra Scott | Speech-Language Pathologist | 235 La Vereda Road, Pasadena, CA 91105 | 2017-07-14 |
| 1346770443 | Amanda Grace Gentz | Rehabilitation Practitioner | 210 S De Lacey, Ste 110, Pasadena, CA 91105 | 2017-06-13 |
| 1427598390 | Melina Gomez Loza | Licensed Vocational Nurse | 66 Hilburt St #2, Pasadena, CA 91105 | 2017-02-27 |
| 1588115281 | Ramon Banuelos | Rehabilitation Practitioner | 210 S. Delacey Ave Suite 110, Pasadena, CA 91105 | 2016-10-18 |
| 1922554245 | Daniel Joseph Ybarra | Student in an Organized Health Care Education/Training Program | 100 W. California Blvd. Pasadena, Ca 91105, Pasadena, CA 91105 | 2016-08-28 |
| Find all providers in zip 91105 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| 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] |
| 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 |
| Find all providers in PASADENA | ||||
Please comment or provide details below to improve the information on PACIFIC CLINICS.
| 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.