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WESTERN PACIFIC MED-CORP
NPI 1750423620
Clinic/Center - Methadone in Fullerton, CA

Active since February 13, 2007
218 E COMMONWEALTH AVE, FULLERTON, CA 92832(818) 956-3737 Get Directions Write a Review

NPPES record last updated: September 28, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Western Pacific Med-corp NPPES

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

WESTERN PACIFIC MED-CORP (NPI 1750423620) is a healthcare organization registered as a methadone in Fullerton, 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

NPI1750423620
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameWESTERN PACIFIC MED-CORP
Location Address218 E COMMONWEALTH AVEFullerton, CA 92832-1911
Mailing Address4544 San Fernando Rd, Suite 202Glendale, CA 91204-1987
Phone(818) 956-3737
Organization SubpartNo
Authorized OfficialMark HickmanC.e.o. · (818) 956-3737
Enumeration DateFebruary 13, 2007
Last NPPES UpdateSeptember 28, 2015
✔ NPI 1750423620 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 · 30-11
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
218 E COMMONWEALTH AVE, Fullerton, CA 92832
Open in Google Maps ↗

Other Identifiers 2

Other3099CA · Drug Medical Provider
OtherCMM70208FCA · 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.
8,980 services39 patients

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.

FELICIA FLORES
Licensed Vocational Nurse
218 E COMMONWEALTH AVE
FULLERTON, CA 92832
Orange County (714) 992-4770
KAREN LIZETTE MONTIEL
Counselor (Addiction (Substance Use Disorder))
218 E COMMONWEALTH AVE
FULLERTON, CA 92832
Orange County (714) 992-4770
DAWN ESTES
Counselor (Addiction (Substance Use Disorder))
218 E COMMONWEALTH AVE
FULLERTON, CA 92832
Orange County (714) 992-4770
WILLIAM MOISAN
Counselor (Addiction (Substance Use Disorder))
218 E COMMONWEALTH AVE
FULLERTON, CA 92832
Orange County (714) 992-4770
PAMELA LARA GARCIA A049780518
Counselor (Addiction (Substance Use Disorder))
218 E COMMONWEALTH AVE
FULLERTON, CA 92832
Orange County (714) 992-4770
ABIGAIL JARNIGAN LVN
Counselor (Addiction (Substance Use Disorder))
218 E COMMONWEALTH AVE
FULLERTON, CA 92832
Orange County (714) 992-4770
JULIE HIGGINBOTHAM
Counselor (Addiction (Substance Use Disorder))
218 E COMMONWEALTH AVE
FULLERTON, CA 92832
Orange County (714) 992-4770
CHRIS ALMENDAREZ
Counselor (Addiction (Substance Use Disorder))
218 E COMMONWEALTH AVE
FULLERTON, CA 92832
Orange County (714) 992-4770

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 1750423620. 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 218 E Commonwealth Ave, Fullerton, CA 92832. 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 September 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.