PACIFIC HEALTH MEDICAL GROUP
PACIFIC HEALTH MEDICAL GROUP is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1902209992, based in Glendale, CA. The organization lists 2 taxonomy classifications, with Adolescent and Children Mental Health Clinic/Center recorded as primary.
Getting there
The practice address on file is 319 S BRAND BLVD, Glendale, CA 91204. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| A113904 | CA | Adolescent and Children Mental Health… primary |
| A113904 | CA | Adult Mental Health Clinic/Center |
This provider holds licence A113904 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 4183941222
- Enrollment ID
- O20150330000009
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Adolescent and Children Mental Health covers
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. NUCC Health Care Provider Taxonomy, code 261QM0855X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center Adolescent and Children Mental Health | A113904 | CA | primary |
| 261QM0850X | Adult Mental Health Clinic/Center Adult Mental Health | A113904 | CA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1902209992 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Oct 3, 2014 |
| Last updated | Oct 3, 2014 |
| Status | Active |
| Practice address |
319 S BRAND BLVD Glendale, CA 91204 (818) 240-0006 Fax (818) 240-0038 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 9 | 0 | 2 | 2 | 0 | 9 | 9 | 9 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 9 | 0 | 2 | 4 | 0 | 9 | 9 | 9 |
Sum = 68 · next multiple of 10 = 70 · check digit = 2 · actual last digit = 2
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.