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WESTERN PACIFIC RE-HAB
NPI 1922447812
Clinic/Center - Methadone in Fullerton, CA

Active since June 24, 2013CLIA 05D2144603 · Waiver
218 E COMMONWEALTH AVE, FULLERTON, CA 92832(714) 992-4770 Get Directions Write a Review

NPPES record last updated: January 23, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Western Pacific Re-hab NPPES

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

WESTERN PACIFIC RE-HAB (NPI 1922447812) is a healthcare organization registered as a methadone in Fullerton, California and active in the NPI registry since June 2013. The organization holds a CLIA Waiver certificate valid through February 19, 2028 and lists Mark Hickman, Ceo, as its authorized official.

NPPES Registry Identity

NPI1922447812
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameWESTERN PACIFIC RE-HAB
Location Address218 E COMMONWEALTH AVEFullerton, CA 92832-1911
Mailing Address4544 San Fernando Rd, Suite 202Glendale, CA 91204-1987 · (818) 956-3737 · Fax (818) 543-6767
Phone(714) 992-4770
Organization SubpartNo
Authorized OfficialMark HickmanCeo · (818) 956-3737
Enumeration DateJune 24, 2013
Last NPPES UpdateJanuary 23, 2020
✔ NPI 1922447812 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 · 30-13
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 1

Other3099CA · California Drug Medi-cal

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2144603

Western Pacific Med Corp · Fullerton, CA
Active · expires Feb 19, 2028
CLIA Number05D2144603
Laboratory TypeOpioid Treatmnt Program
Certificate Effective DateFebruary 20, 2026
Certificate Expiration DateFebruary 19, 2028
Laboratory DirectorDavid Sami
Laboratory Phone(714) 992-4770
Laboratory LocationWestern Pacific Med Corp218 E Commonwealth Ave, Fullerton, CA 92832
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Re-Hab's NPI number?

The NPI number for Western Pacific Re-Hab is 1922447812. 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 218 E Commonwealth Ave, Fullerton, CA 92832. The listed phone number is (714) 992-4770.

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.

Does Western Pacific Re-Hab hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2144603) is associated with this NPI, valid through February 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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.