PACIFIC CDDC
NPI 1124402284
Clinic/Center - Medical Specialty in Costa Mesa, CA

Active since July 17, 2015
1640 NEWPORT BLVD, SUITE 350, COSTA MESA, CA 92627(949) 386-5260(949) 515-0031 Get Directions Write a Review

NPPES record last updated: July 17, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pacific Cddc NPPES

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

PACIFIC CDDC (NPI 1124402284) is a healthcare organization registered as a medical specialty in Costa Mesa, California and active in the NPI registry since July 2015. The organization lists Manuel Porto, Interim President, as its authorized official.

NPPES Registry Identity

NPI1124402284
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NamePACIFIC CDDC
Location Address1640 NEWPORT BLVD, SUITE 350Costa Mesa, CA 92627-3786
Mailing AddressPo Box 54509Los Angeles, CA 90054-0509 · (714) 456-3856 · Fax (714) 456-8101
Fax(949) 515-0031
Organization SubpartYesParent: Regents Of The University Of California
Authorized OfficialManuel PortoInterim President · (714) 456-2986
Enumeration DateJuly 17, 2015
NPI 1124402284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
1640 NEWPORT BLVD, Costa Mesa, CA 92627

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.

Clinic/Center (Ambulatory Surgical)
1640 NEWPORT BLVD, SUITE 150
COSTA MESA, CA 92627
Clinic/Center (Ambulatory Surgical)
1640 NEWPORT BLVD, SUITE 100
COSTA MESA, CA 92627
Specialist
1640 NEWPORT BLVD, 220
COSTA MESA, CA 92627
Clinic/Center (Medical Specialty)
1640 NEWPORT BLVD, SUITE 230
COSTA MESA, CA 92627
Chiropractor
1640 NEWPORT BLVD, STE 440
COSTA MESA, CA 92627
Clinic/Center (Ambulatory Fertility Facility)
1640 NEWPORT BLVD, #460
COSTA MESA, CA 92627
Clinic/Center (Medical Specialty)
1640 NEWPORT BLVD, SUITE 340
COSTA MESA, CA 92627
Radiology (Diagnostic Radiology)
1640 NEWPORT BLVD
COSTA MESA, CA 92627

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pacific Cddc's NPI number?

The NPI number for Pacific Cddc is 1124402284. It was assigned to this organization in the NPPES registry on July 17, 2015.

Where is Pacific Cddc located?

Pacific Cddc is located at 1640 Newport Blvd Suite 350, Costa Mesa, CA 92627. The listed phone number is (949) 386-5260.

What is Pacific Cddc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Pacific Cddc was last updated on July 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.