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WESTERN PACIFIC RE-HAB
NPI 1770922650
Clinic/Center - Methadone in Glendale, CA

Active since June 24, 2013
4544 SAN FERNANDO RD, SUITE 201, GLENDALE, CA 91204(818) 240-8843 Get Directions Write a Review

NPPES record last updated: January 23, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 23, 2020, Jan 15, 2020 (2 updates tracked since 2020).

About Western Pacific Re-hab NPPES

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

WESTERN PACIFIC RE-HAB (NPI 1770922650) is a healthcare organization registered as a methadone in Glendale, California and active in the NPI registry since June 2013. The organization lists Mark Hickman, Ceo, as its authorized official.

NPPES Registry Identity

NPI1770922650
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameWESTERN PACIFIC RE-HAB
Location Address4544 SAN FERNANDO RD, SUITE 201Glendale, CA 91204-1987
Mailing Address4544 San Fernando Rd, Suite 202Glendale, CA 91204-1987 · (818) 956-3737
Phone(818) 240-8843
Organization SubpartNo
Authorized OfficialMark HickmanCeo · (818) 956-3737
Enumeration DateJune 24, 2013
Last NPPES UpdateJanuary 23, 20202 updates tracked since enumeration
✔ NPI 1770922650 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 · 19-125
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
4544 SAN FERNANDO RD, Glendale, CA 91204
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Other Identifiers 1

Other1949CA · California Drug Medi-cal

Other Providers at the Same Location NPPES 3

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

WESTERN PACIFIC MED-CORP
Clinic/Center (Methadone)
4544 SAN FERNANDO RD, SUITE 201
GLENDALE, CA 91204
Los Angeles County (818) 240-8843
NICHOLAS ZARAGOZA
Counselor (Addiction (Substance Use Disorder))
4544 SAN FERNANDO RD
GLENDALE, CA 91204
Los Angeles County (818) 240-8843
CARISSA KIMBERLY PELLERIN SUBSTANCE ABUSE COUN
Counselor (Addiction (Substance Use Disorder))
4544 SAN FERNANDO RD
GLENDALE, CA 91204
Los Angeles County (818) 240-8843

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 Re-Hab's NPI number?

The NPI number for Western Pacific Re-Hab is 1770922650. It was assigned to this organization in the NPPES registry on June 24, 2013.

Where is Western Pacific Re-Hab located?

Western Pacific Re-Hab is located at 4544 San Fernando Rd Suite 201, Glendale, CA 91204. The listed phone number is (818) 240-8843.

What is Western Pacific Re-Hab'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 Re-Hab was last updated on January 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.