PACORPNATION
NPI 1629481312
Physician Assistant - Medical in Garden Grove, CA

Active since June 10, 2014
12665 GARDEN GROVE BLVD STE 713, GARDEN GROVE, CA 92843(714) 537-7500(714) 537-2176 Get Directions Write a Review

NPPES record last updated: June 10, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pacorpnation NPPES

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

PACORPNATION (NPI 1629481312) is a healthcare organization registered as a medical in Garden Grove, California and active in the NPI registry since June 2014. The organization lists Moises Alvarez-fernandez, Ceo, as its authorized official.

NPPES Registry Identity

NPI1629481312
Entity TypeOrganization
Primary Taxonomy363AM0700X
Legal Business NamePACORPNATION
Location Address12665 GARDEN GROVE BLVD STE 713Garden Grove, CA 92843-1921
Mailing Address901 S Harbor Blvd Apt 223Santa Ana, CA 92704-2371 · (559) 920-2873
Fax(714) 537-2176
Organization SubpartNo
Authorized OfficialMoises Alvarez-fernandezCeo · (559) 920-2873
Enumeration DateJune 10, 2014
NPI 1629481312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CA · PA21762
12665 GARDEN GROVE BLVD STE 713, Garden Grove, CA 92843

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
12665 GARDEN GROVE BLVD STE 713
GARDEN GROVE, CA 92843
Clinic/Center (Primary Care)
12665 GARDEN GROVE BLVD STE 713
GARDEN GROVE, CA 92843
Nurse Practitioner (Family)
12665 GARDEN GROVE BLVD STE 713
GARDEN GROVE, CA 92843
Pediatrics (Neonatal-Perinatal Medicine)
12665 GARDEN GROVE BLVD STE 713
GARDEN GROVE, CA 92843

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 Pacorpnation's NPI number?

The NPI number for Pacorpnation is 1629481312. It was assigned to this organization in the NPPES registry on June 10, 2014.

Where is Pacorpnation located?

Pacorpnation is located at 12665 Garden Grove Blvd Ste 713, Garden Grove, CA 92843. The listed phone number is (714) 537-7500.

What is Pacorpnation's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Pacorpnation was last updated on June 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.