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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

WESTERN PACIFIC MED-CORP
NPI 1376685230
Clinic/Center - Methadone in San Fernando, CA

Active since February 13, 2007
111 N MACLAY AVE, SAN FERNANDO, CA 91340(818) 956-3737 Get Directions Write a Review

NPPES record last updated: October 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 15, 2026, Sep 28, 2015 (2 updates tracked since 2015).

About Western Pacific Med-corp NPPES

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

WESTERN PACIFIC MED-CORP (NPI 1376685230) is a healthcare organization registered as a methadone in San Fernando, California and active in the NPI registry since February 2007. The organization lists Mark Hickman, C.e.o., as its authorized official.

NPPES Registry Identity

NPI1376685230
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameWESTERN PACIFIC MED-CORP
Location Address111 N MACLAY AVESan Fernando, CA 91340-2906
Mailing Address4544 San Fernando Rd Ste 202Glendale, CA 91204-5015
Phone(818) 956-3737
Organization SubpartNo
Authorized OfficialMark HickmanC.e.o. · (818) 956-3737
Enumeration DateFebruary 13, 2007
Last NPPES UpdateOctober 15, 20262 updates tracked since enumeration
NPPES CertifiedOctober 15, 2026
✔ NPI 1376685230 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 · 19-088
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
111 N MACLAY AVE, San Fernando, CA 91340
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Other Identifiers 2

Other7000CA · Drug Medical Provider
OtherCMM70054FCA · Medical Provider

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.
5,061 services21 patients

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 Western Pacific Med-Corp's NPI number?

The NPI number for Western Pacific Med-Corp is 1376685230. It was assigned to this organization in the NPPES registry on February 13, 2007.

Where is Western Pacific Med-Corp located?

Western Pacific Med-Corp is located at 111 N Maclay Ave, San Fernando, CA 91340. The listed phone number is (818) 956-3737.

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.

When was this NPI record last updated?

The NPPES record for Western Pacific Med-Corp was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.