WESTERN PACIFIC MED-CORP
NPI 1235272196
Clinic/Center - Methadone in Van Nuys, CA
- Organization
- Clinic/Center
- Methadone
- CLIA Number: 05D2235034
- CLIA Cert. Type: Other - NARCOTIC TREATMENT P
- CLIA Exp. Date: 09-06-2027
About WESTERN PACIFIC MED-CORP
This page provides the complete NPI Profile along with additional information for Western Pacific Med-corp, a provider established in Van Nuys, California operating as a Clinic/center, focusing in methadone . The healthcare provider is registered in the NPI registry with number 1235272196 assigned on February 2007. The practitioner's primary taxonomy code is 261QM2800X with license number 19-138 (CA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Mark Hickman (C.e.o.)
- NPI
- 1235272196 Verify this NPI
- Provider Name
- WESTERN PACIFIC MED-CORP
- Entity Type
- Organization
- Location Address
- 14332 VICTORY BLVD VAN NUYS, CA 91401
- Location Phone
- (818) 956-3737
- Mailing Address
- 4544 SAN FERNANDO RD SUITE 202 GLENDALE, CA 91204
- Mailing Phone
- (818) 956-3737
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-14-2007
- Last Update Date
- 09-28-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Methadone
- Taxonomy Code
- 261QM2800X
- Type
- Ambulatory Health Care Facilities
- License No.
- 19-138
- License State
- CA
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| HDC70061F | OTHER (01) | CA | MEDICAL PROVIDER |
| 6805 | OTHER (01) | CA | DRUG MEDICAL PROVIDER |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2235034
- Facility Type
- Other - NARCOTIC TREATMENT P
- Certificate Effective Date
- September 07, 2025
- Certificate Expiration Date
- September 06, 2027
- Laboratory Director
- DAVID A. SAMI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Western Pacific Med-corp to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for WESTERN PACIFIC MED-CORP
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
Other Providers at the Same Location
The following 11 providers are registered at the same or a nearby location.
VAN NUYS, CA 91401
VAN NUYS, CA 91401
VAN NUYS, CA 91401
VAN NUYS, CA 91401
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235272196, enumerated as an "organization" on February 14, 2007.
The provider is located at 14332 VICTORY BLVD VAN NUYS, CA 91401 and the phone number is (818) 956-3737.
Clinic/Center with taxonomy code 261QM2800X and a focus in Methadone.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
