PELICAN BAY STATE PRISON
NPI 1437280153
Clinic/Center - Prison Health in Crescent City, CA

Active since March 07, 2007
5905 LAKE EARL DR, CRESCENT CITY, CA 95532(707) 465-1000 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pelican Bay State Prison NPPES

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

PELICAN BAY STATE PRISON (NPI 1437280153) is a healthcare organization registered as a prison health in Crescent City, California and active in the NPI registry since March 2007. The organization lists Maureen Mclean, Health Care Manager, as its authorized official.

NPPES Registry Identity

NPI1437280153
Entity TypeOrganization
Primary Taxonomy261QP2400X
Legal Business NameCDCR-PBSP
Location Address5905 LAKE EARL DRCrescent City, CA 95532-0001
Mailing AddressPo Box 7000Crescent City, CA 95532-0001 · (707) 465-1000
Organization SubpartNo
Authorized OfficialMaureen McleanHealth Care Manager · (707) 465-1000
Enumeration DateMarch 7, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1437280153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Prison HealthAmbulatory Health Care Facilities
Taxonomy Code261QP2400X
License Licensed in CA · A043460
5905 LAKE EARL DR, Crescent City, CA 95532

Other Names 1

Other NamePelican Bay State Prison

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.

Pharmacist
5905 LAKE EARL DR, PHARMACY DEPARTMENT
CRESCENT CITY, CA 95532
Psychologist (Clinical)
5905 LAKE EARL DR
CRESCENT CITY, CA 95532
Pharmacist
5905 LAKE EARL DR
CRESCENT CITY, CA 95532
Social Worker (Clinical)
5905 LAKE EARL DR
CRESCENT CITY, CA 95532
Pharmacy
5905 LAKE EARL DR
CRESCENT CITY, CA 95532
Psychologist (Clinical)
5905 LAKE EARL DR
CRESCENT CITY, CA 95532
Psychologist (Clinical)
5905 LAKE EARL DR
CRESCENT CITY, CA 95532
Psychologist (Clinical)
5905 LAKE EARL DR
CRESCENT CITY, CA 95532

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 Cdcr-Pbsp's NPI number?

The NPI number for Cdcr-Pbsp is 1437280153. It was assigned to this organization in the NPPES registry on March 7, 2007. The provider is also known as Pelican Bay State Prison.

Where is Cdcr-Pbsp located?

Cdcr-Pbsp is located at 5905 Lake Earl Dr, Crescent City, CA 95532. The listed phone number is (707) 465-1000.

What is Cdcr-Pbsp's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Prison Health, with taxonomy code 261QP2400X.

When was this NPI record last updated?

The NPPES record for Cdcr-Pbsp was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.