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

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  • 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
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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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARK HICKMAN

Authorized Official Title
CEO
Authorized Official Phone
(818) 956-3737

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
3098OTHER (01)CACALIFORNIA DRUG MEDI-CAL

Reviews for WESTERN PACIFIC RE-HAB

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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.
1578902466
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251481804412
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 = 66

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

(949) 646-2311

CYNTHIA CASTILLO

Counselor

(Addiction (Substance Use Disorder))

275 VICTORIA ST STE 1H
COSTA MESA, CA
ZIP 92627

(949) 629-2862

BRIDGET O'CONNELL

Registered Nurse

(Addiction (Substance Use Disorder))

275 VICTORIA ST STE 1H
COSTA MESA, CA
ZIP 92627

(949) 629-2862

PATANA PONGVARIN

Registered Nurse

(Addiction (Substance Use Disorder))

275 VICTORIA ST STE 1H
COSTA MESA, CA
ZIP 92627

(949) 629-2862

YASMINE FURLONG

Registered Nurse

(Addiction (Substance Use Disorder))

275 VICTORIA ST STE 1H
COSTA MESA, CA
ZIP 92627

(949) 629-2862

KHADINE BAPTISTE

Counselor

(Addiction (Substance Use Disorder))

275 VICTORIA ST STE 1H
COSTA MESA, CA
ZIP 92627

(949) 629-2862

ROSARIO ZATARAIN

Counselor

(Addiction (Substance Use Disorder))

275 VICTORIA ST STE 1H
COSTA MESA, CA
ZIP 92627

(949) 629-2862

CYNTHIA CALVARIO

Counselor

(Addiction (Substance Use Disorder))

275 VICTORIA ST STE 1H
COSTA MESA, CA
ZIP 92627

(949) 629-2860

WHITNEY TAYLOR WEST LVN

Licensed Vocational Nurse

275 VICTORIA ST STE 1H
COSTA MESA, CA
ZIP 92627

(949) 629-2862

DANIELLE SMITH

Counselor

(Addiction (Substance Use Disorder))

275 VICTORIA ST STE 1H
COSTA MESA, CA
ZIP 92627

(310) 735-3790

MS. HELEN YVONNE FRENCH

Counselor

(Addiction (Substance Use Disorder))

275 VICTORIA ST STE 1H
COSTA MESA, CA
ZIP 92627

(949) 629-2860

MELISSA RENEE OROZCO

Counselor

(Addiction (Substance Use Disorder))

275 VICTORIA ST STE 1H
COSTA MESA, CA
ZIP 92627

(949) 629-2862

DANILO ARTURO ROCA

Counselor

(Addiction (Substance Use Disorder))

275 VICTORIA ST STE 1H
COSTA MESA, CA
ZIP 92627

(949) 629-2860

INGRID G ARENAS BAUTISTA

Licensed Vocational Nurse

275 VICTORIA ST STE 1H
COSTA MESA, CA
ZIP 92627

(949) 629-2862

BELEN NGUYEN LVN

Licensed Vocational Nurse

275 VICTORIA ST STE 1H
COSTA MESA, CA
ZIP 92627

(949) 629-2860

ASHLEY LE

Licensed Vocational Nurse

275 VICTORIA ST STE 1H
COSTA MESA, CA
ZIP 92627

(949) 629-2860

CONNIE MOSSBARGER

Counselor

(Addiction (Substance Use Disorder))

275 VICTORIA ST STE 1H
COSTA MESA, CA
ZIP 92627

(949) 629-2867

DARCEL D TOWNSEND -JACKSON

Counselor

(Addiction (Substance Use Disorder))

275 VICTORIA ST STE 1H
COSTA MESA, CA
ZIP 92627

(949) 629-2862

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.