PRIVATE PRACTICE
NPI 1134593833
Community Based Residential Treatment Facility, Mental Illness in Camarillo, CA

Q: What is Casa Pacifica's NPI number?

The NPI number for Casa Pacifica is 1134593833. It was assigned to this organization in the NPPES registry on November 18, 2015. The provider is doing business as Private Practice.

Q: What is Casa Pacifica's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

Q: When was this NPI record last updated?

The NPPES record for Casa Pacifica was last updated on November 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since November 18, 2015CLIA 05D0891793 · Waiver

1722 LEWIS RD, 268, CAMARILLO, CA 93012(805) 445-7800(805) 987-0258 Get Directions Write a Review

NPPES record last updated: November 18, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Private Practice NPPES

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

PRIVATE PRACTICE (NPI 1134593833) is a healthcare organization registered as a community based residential treatment facility, mental illness in Camarillo, California and active in the NPI registry since November 2015. The organization holds a CLIA Waiver certificate valid through September 15, 2026 and lists Heather None Campbell, Adminastration, as its authorized official.

NPPES Registry Identity

NPI1134593833

Entity TypeOrganization

Primary Taxonomy320800000X

Legal Business NameCASA PACIFICA

Location Address1722 LEWIS RD, 268Camarillo, CA 93012-0234

Mailing Address1722 S Lewis Rd, NoneCamarillo, CA 93012-8520 · (805) 445-7800 · Fax (805) 987-0258

Phone(805) 445-7800

Fax(805) 987-0258

Organization SubpartYesParent: Yes

Authorized OfficialHeather None CampbellAdminastration · (805) 445-7800

Enumeration DateNovember 18, 2015

✔ NPI 1134593833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities

Taxonomy Code320800000X

Licenses✔ Licensed in CA · MFC29100✔ Licensed in CA · MFC2900

Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Also ListedSubstance Abuse Rehabilitation Facility · Substance Abuse Treatment, ChildrenTaxonomy 3245S0500X · License MFC29100 (CA)

1722 LEWIS RD, Camarillo, CA 93012

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Other Names 1

Doing Business AsPrivate Practice

CLIA Laboratory Certificates CMS CLIA

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 05D0891793

Casa Pacifica Medical Clinic · Camarillo, CA

Active · expires Sep 15, 2026

CLIA Number05D0891793

Laboratory TypeOther

Certificate Effective DateSeptember 16, 2024

Certificate Expiration DateSeptember 15, 2026

Laboratory DirectorBarbara Nicholas

Laboratory Phone(805) 445-7835

Laboratory LocationCasa Pacifica Medical Clinic1722 S Lewis Road, Camarillo, CA 93012

CLIA data matches this NPI record on: Address Name

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

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 Casa Pacifica's NPI number?

The NPI number for Casa Pacifica is 1134593833. It was assigned to this organization in the NPPES registry on November 18, 2015. The provider is doing business as Private Practice.

Where is Casa Pacifica located?

Casa Pacifica is located at 1722 Lewis Rd 268, Camarillo, CA 93012. The listed phone number is (805) 445-7800.

What is Casa Pacifica's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

Does Casa Pacifica hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0891793) is associated with this NPI, valid through September 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Casa Pacifica was last updated on November 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.