PACIFIC CLINICS
NPI 1104600634
Community/Behavioral Health in San Jose, CA

NPI Status: Active since August 24, 2023

Contact Information

1302 N 4TH ST
SAN JOSE, CA
ZIP 95112
Phone: (408) 379-3790

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  • Organization
  • Community/Behavioral Health

About PACIFIC CLINICS

This page provides the complete NPI Profile along with additional information for Pacific Clinics, a provider established in San Jose, California operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1104600634 assigned on August 2023. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Kathryn Mccarthy (Chief Executive Officer / President)

NPI
1104600634
Provider Name
PACIFIC CLINICS
Entity Type
Organization
Location Address
1302 N 4TH ST SAN JOSE, CA 95112
Location Phone
(408) 379-3790
Mailing Address
251 LLEWELLYN AVE CAMPBELL, CA 95008
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-24-2023
Last Update Date
08-24-2023
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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

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

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

KATHRYN MCCARTHY

Authorized Official Title
CHIEF EXECUTIVE OFFICER / PRESIDENT
Authorized Official Phone
(408) 379-3790

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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.
1104600634
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2104120066
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 1 + 2 + 0 + 0 + 6 + 6 + 24 = 46
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 46 = 44

The NPI number 1104600634 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1053172247 CLEOTILDE HERNANDES VALENCIA
Individual
Behavior Technician1302 N 4TH ST
SAN JOSE, CA 95112
(669) 308-7168
1053182378 JILLIAN HARRINGTON PALERMO
Individual
Behavior Technician1302 N 4TH ST
SAN JOSE, CA 95112
(669) 308-7124
1104687110 MORGAN LINDA KABECHE
Individual
Behavior Technician1302 N 4TH ST
SAN JOSE, CA 95112
(877) 722-2737
1578324752 COCO KOZA
Individual
Behavior Technician1302 N 4TH ST
SAN JOSE, CA 95112
(669) 308-7122
1639930829 MAGALY CASTRO
Individual
Behavior Technician1302 N 4TH ST
SAN JOSE, CA 95112
(669) 308-7167
1659132660 HAILEY VANANH FORTENER
Individual
Behavior Technician1302 N 4TH ST
SAN JOSE, CA 95112
(219) 629-4388
1942061072 ISABEL ELISCU
Individual
Behavior Technician1302 N 4TH ST
SAN JOSE, CA 95112
(669) 308-7169
1962263160 JULIENNE ANDREA RAMOS DEOCARES
Individual
Behavior Technician1302 N 4TH ST
SAN JOSE, CA 95112
(669) 308-7176
1073375325 DONALD THOMAS CHASE III
Individual
Student in an Organized Health Care Education/Training Program1302 N 4TH ST
SAN JOSE, CA 95112
(408) 685-1252
1811758261 SARAH MORALES
Individual
Behavior Technician1302 N 4TH ST
SAN JOSE, CA 95112
(408) 379-3790
1306601653 CARLOS ALFONSO PARRA
Individual
Behavior Technician1302 N 4TH ST
SAN JOSE, CA 95112
(669) 308-7307
1366209223 MELEA JULES R AGLEHAM
Individual
Behavior Technician1302 N 4TH ST
SAN JOSE, CA 95112
(408) 876-4284
1366761645MS. JENNIFER HAFDAL PHD
Individual
Psychologist (Clinical)1302 N 4TH ST
SAN JOSE, CA 95112
(408) 455-8711
1417717117 YIRU XIE
Individual
Student in an Organized Health Care Education/Training Program1302 N 4TH ST
SAN JOSE, CA 95112
(347) 420-0628
1033621404 COURTNEY JACKSON
Individual
Behavior Analyst1302 N 4TH ST
SAN JOSE, CA 95112
(408) 379-3790
1508230020 YVES EVANS MA, MPH
Individual
Student in an Organized Health Care Education/Training Program1302 N 4TH ST
SAN JOSE, CA 95112
(408) 691-7085
1003665258 KARINA PARTIDA ULLOA
Individual
Behavior Technician1302 N 4TH ST
SAN JOSE, CA 95112
(669) 302-9728
1073352894 ANTHONY MICHAEL GUTIERREZ
Individual
Behavior Analyst1302 N 4TH ST
SAN JOSE, CA 95112
(669) 243-6941
1689418915PACIFICA CLINICS
Organization
Behavior Technician1302 N 4TH ST
SAN JOSE, CA 95112
(626) 254-5000
1255177838 BIANCA MATILDES
Individual
Behavior Technician1302 N 4TH ST
SAN JOSE, CA 95112
(408) 379-3790

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104600634, enumerated in the NPI registry as an "organization" on August 24, 2023

The provider is located at 1302 N 4th St San Jose, Ca 95112 and the phone number is (408) 379-3790

This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X

This NPI record was last updated on August 24, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.