PACIFICA HEALTH FOUNDATION
NPI 1356998272
Clinic/Center - Multi-Specialty in Los Angeles, CA
- Organization
- Clinic/Center
- Multi-Specialty
- CLIA Number: 05D2279187
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-29-2027
About PACIFICA HEALTH FOUNDATION
This page provides the complete NPI Profile along with additional information for Pacifica Health Foundation, a provider established in Los Angeles, California operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1356998272 assigned on August 2019. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Pacifica Health Foundation operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mr. Samir Talwar (Director)
- NPI
- 1356998272 Verify this NPI
- Provider Name
- PACIFICA HEALTH FOUNDATION
- Entity Type
- Organization
- Location Address
- 1300 N VERMONT AVE LOS ANGELES, CA 90027
- Location Phone
- (213) 913-4853
- Mailing Address
- 3731 WILSHIRE BLVD LOS ANGELES, CA 90010
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-26-2019
- Last Update Date
- 01-19-2021
- 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 Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 2 | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | |
| 3 | 2083P0500X | Allopathic & Osteopathic Physicians | Preventive Medicine |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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
- 05D2279187
- Facility Type
- Physician Office
- Certificate Effective Date
- March 30, 2025
- Certificate Expiration Date
- March 29, 2027
- Laboratory Director
- BEN HA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Pacifica Health Foundation 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.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356998272, enumerated as an "organization" on August 26, 2019.
The provider is located at 1300 N VERMONT AVE LOS ANGELES, CA 90027 and the phone number is (213) 913-4853.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.
