PACIFICA RECOVERY INC. NPI 1154479517

NPI Information

  • NPI: 1154479517
  • Provider Name: PACIFICA RECOVERY, INC.
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Address: 415 W FOOTHILL BLVD
    STE 210
    CLAREMONT, CA
    ZIP 91711
  • Phone: (626) 813-3771

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NPI Details

PACIFICA RECOVERY, INC. is an adult mental health clinic center in Claremont, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. PACIFICA RECOVERY, INC. NPI is 1154479517. The provider is registered as an organization entity type.

The provider's business location address is:

415 W FOOTHILL BLVD
STE 210
CLAREMONT, CA
ZIP 91711-766
Phone: (626) 813-3771
Fax: (626) 813-3772

The provider's authorized official is April J Antoniou .
The authorized official title is Credentialing Services Manager and has the following contact phone number (805) 413-1318.

The enumeration date for this NPI number is 1/8/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0850XClinic/CenterAdult Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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