WESTERN PACIFIC MED-CORP
NPI 1003958976
Clinic/Center - Methadone in Ventura, CA

Q: What is Western Pacific Med-Corp's NPI number?

The NPI number for Western Pacific Med-Corp is 1003958976. It was assigned to this organization in the NPPES registry on February 13, 2007.

Q: What is Western Pacific Med-Corp's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

Active since February 13, 2007CLIA Certified · 7 labs

955 E THOMPSON BLVD, VENTURA, CA 93001(818) 956-3737 Get Directions Write a Review

NPPES record last updated: September 28, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Western Pacific Med-corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WESTERN PACIFIC MED-CORP (NPI 1003958976) is a healthcare organization registered as a methadone in Ventura, California and active in the NPI registry since February 2007. The organization holds 7 active CLIA laboratory certificates and lists Mark Hickman, C.e.o., as its authorized official.

NPPES Registry Identity

NPI1003958976

Entity TypeOrganization

Primary Taxonomy261QM2800X

Legal Business NameWESTERN PACIFIC MED-CORP

Location Address955 E THOMPSON BLVDVentura, CA 93001-3008

Mailing Address4544 San Fernando Rd, Suite 202Glendale, CA 91204-1987

Phone(818) 956-3737

Organization SubpartNo

Authorized OfficialMark HickmanC.e.o. · (818) 956-3737

Enumeration DateFebruary 13, 2007

Last NPPES UpdateSeptember 28, 2015

✔ NPI 1003958976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities

Taxonomy Code261QM2800X

License✔ Licensed in CA · 56-08

Definition

An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

955 E THOMPSON BLVD, Ventura, CA 93001

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Other Identifiers 2

OtherHDC70062FCA · Medical Provider

Other5613CA · Drug Medical Provider

CLIA Laboratory Certificates CMS CLIA 7

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2144613

Western Pacific Med Corp · Glendale, CA

Active · expires Feb 19, 2028

CLIA Number05D2144613

Laboratory TypeNarcotic Treatmnt Program

Certificate Effective DateFebruary 20, 2026

Certificate Expiration DateFebruary 19, 2028

Laboratory DirectorDavid Sami, MD

Laboratory Phone(818) 956-3737

Laboratory LocationWestern Pacific Med Corp4544 San Fernando Rd Ste 201, Glendale, CA 91204

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2144597

Western Pacific Med Corp · Van Nuys, CA

Active · expires Feb 19, 2028

CLIA Number05D2144597

Laboratory TypeNarcotic Trt Program

Certificate Effective DateFebruary 20, 2026

Certificate Expiration DateFebruary 19, 2028

Laboratory DirectorDavid A. Sami, MD

Laboratory Phone(818) 956-3737

Laboratory LocationWestern Pacific Med Corp14332 Victory Blvd, Van Nuys, CA 91401

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2144600

Western Pacific Med Corp · North Hollywood, CA

Active · expires Feb 19, 2028

CLIA Number05D2144600

Laboratory TypeNarcotic Treatmnt Program

Certificate Effective DateFebruary 20, 2026

Certificate Expiration DateFebruary 19, 2028

Laboratory DirectorDavid A. Sami, MD

Laboratory Phone(818) 956-3737

Laboratory LocationWestern Pacific Med Corp4838 Laurel Canyon Blvd, North Hollywood, CA 91607

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2144606

Western Pacific Med Corp · Stanton, CA

Active · expires Feb 19, 2028

CLIA Number05D2144606

Laboratory TypeOpioid Treatmnt Program

Certificate Effective DateFebruary 20, 2026

Certificate Expiration DateFebruary 19, 2028

Laboratory DirectorDavid Sami, MD

Laboratory Phone(818) 956-3737

Laboratory LocationWestern Pacific Med Corp10751 Dale Ave, Stanton, CA 90680

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2242266

Western Pacific Med-Corp · Mission Viejo, CA

Active · expires Nov 4, 2027

CLIA Number05D2242266

Laboratory TypeNarcotic Treatment Progra

Certificate Effective DateNovember 5, 2025

Certificate Expiration DateNovember 4, 2027

Laboratory DirectorDavid Sami

Laboratory Phone(818) 956-3737

Laboratory LocationWestern Pacific Med-Corp26921 Crown Valley Parkway Ste #200, Mission Viejo, CA 92691

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2235034

Western Pacific Med-Corp · Costa Mesa, CA

Active · expires Sep 6, 2027

CLIA Number05D2235034

Laboratory TypeNarcotic Treatment P

Certificate Effective DateSeptember 7, 2025

Certificate Expiration DateSeptember 6, 2027

Laboratory DirectorDavid A. Sami

Laboratory Phone(818) 956-3737

Laboratory LocationWestern Pacific Med-Corp275 Victoria Street, Ste# 1H, Costa Mesa, CA 92627

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm G2067

Medication Assisted Treatment (MAT) with methadone is a comprehensive approach to manage opioid addiction. It includes weekly methadone dispensing, substance use counseling, individual and group therapy sessions, and toxicology tests as needed, all provided by a Medicare-enrolled opioid treatment program.

13,032 services48 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. GILBERT VILLARREAL II

Counselor (Addiction (Substance Use Disorder))