WESTERN PACIFIC RE-HAB
NPI 1578902466
Clinic/Center - Methadone in Costa Mesa, CA
NPI Status: Active since June 24, 2013
Contact Information
275 VICTORIA ST STE 1H
COSTA MESA, CA
ZIP 92627
Phone: (949) 629-2862
- Organization
- Clinic/Center
- Methadone
About WESTERN PACIFIC RE-HAB
This page provides the complete NPI Profile along with additional information for Western Pacific Re-hab, a provider established in Costa Mesa, California operating as a Clinic/center, focusing in methadone . The healthcare provider is registered in the NPI registry with number 1578902466 assigned on June 2013. The practitioner's primary taxonomy code is 261QM2800X with license number 30-12 (CA). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mark Hickman (Ceo)
- NPI
- 1578902466
- Provider Name
- WESTERN PACIFIC RE-HAB
- Entity Type
- Organization
- Location Address
- 275 VICTORIA ST STE 1H COSTA MESA, CA 92627
- Location Phone
- (949) 629-2862
- Mailing Address
- 4544 SAN FERNANDO RD SUITE 202 GLENDALE, CA 91204
- Mailing Phone
- (818) 956-3737
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-24-2013
- Last Update Date
- 01-23-2020
- 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.
- 30-12
- 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.
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 |
---|---|---|---|
3098 | OTHER (01) | CA | CALIFORNIA DRUG MEDI-CAL |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 5 | 7 | 8 | 9 | 0 | 2 | 4 | 6 | 6 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 5 | 14 | 8 | 18 | 0 | 4 | 4 | 12 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 5 + 1 + 4 + 8 + 1 + 8 + 0 + 4 + 4 + 1 + 2 + 24 = 64 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 64 = 6 | 6 |
The NPI number 1578902466 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 18 providers are registered at the same or nearby location.
MARGARET M SHANNON, MD, INC
Dermatology
275 VICTORIA ST STE 1H
COSTA MESA, CA
ZIP 92627
CYNTHIA CASTILLO
Counselor
(Addiction (Substance Use Disorder))
275 VICTORIA ST STE 1H
COSTA MESA, CA
ZIP 92627
BRIDGET O'CONNELL
Registered Nurse
(Addiction (Substance Use Disorder))
275 VICTORIA ST STE 1H
COSTA MESA, CA
ZIP 92627
PATANA PONGVARIN
Registered Nurse
(Addiction (Substance Use Disorder))
275 VICTORIA ST STE 1H
COSTA MESA, CA
ZIP 92627
YASMINE FURLONG
Registered Nurse
(Addiction (Substance Use Disorder))
275 VICTORIA ST STE 1H
COSTA MESA, CA
ZIP 92627
KHADINE BAPTISTE
Counselor
(Addiction (Substance Use Disorder))
275 VICTORIA ST STE 1H
COSTA MESA, CA
ZIP 92627
ROSARIO ZATARAIN
Counselor
(Addiction (Substance Use Disorder))
275 VICTORIA ST STE 1H
COSTA MESA, CA
ZIP 92627
CYNTHIA CALVARIO
Counselor
(Addiction (Substance Use Disorder))
275 VICTORIA ST STE 1H
COSTA MESA, CA
ZIP 92627
WHITNEY TAYLOR WEST LVN
Licensed Vocational Nurse
275 VICTORIA ST STE 1H
COSTA MESA, CA
ZIP 92627
DANIELLE SMITH
Counselor
(Addiction (Substance Use Disorder))
275 VICTORIA ST STE 1H
COSTA MESA, CA
ZIP 92627
MS. HELEN YVONNE FRENCH
Counselor
(Addiction (Substance Use Disorder))
275 VICTORIA ST STE 1H
COSTA MESA, CA
ZIP 92627
MELISSA RENEE OROZCO
Counselor
(Addiction (Substance Use Disorder))
275 VICTORIA ST STE 1H
COSTA MESA, CA
ZIP 92627
DANILO ARTURO ROCA
Counselor
(Addiction (Substance Use Disorder))
275 VICTORIA ST STE 1H
COSTA MESA, CA
ZIP 92627
INGRID G ARENAS BAUTISTA
Licensed Vocational Nurse
275 VICTORIA ST STE 1H
COSTA MESA, CA
ZIP 92627
BELEN NGUYEN LVN
Licensed Vocational Nurse
275 VICTORIA ST STE 1H
COSTA MESA, CA
ZIP 92627
ASHLEY LE
Licensed Vocational Nurse
275 VICTORIA ST STE 1H
COSTA MESA, CA
ZIP 92627
CONNIE MOSSBARGER
Counselor
(Addiction (Substance Use Disorder))
275 VICTORIA ST STE 1H
COSTA MESA, CA
ZIP 92627
DARCEL D TOWNSEND -JACKSON
Counselor
(Addiction (Substance Use Disorder))
275 VICTORIA ST STE 1H
COSTA MESA, CA
ZIP 92627
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1578902466, enumerated as an "organization" on June 24, 2013.
The provider is located at 275 VICTORIA ST STE 1H COSTA MESA, CA 92627 and the phone number is (949) 629-2862.
Clinic/Center with taxonomy code 261QM2800X and a focus in Methadone.
The provider might be accepting Accepts: California Medicaid, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.