Pacifica Orthopedics Medical Corporation is a medicare enrolled "Orthopaedic Surgery" provider in Huntington Beach, California. Their current practice location is
18800 Delaware St, Suite 1100, Huntington Beach, California. You can reach out to their office (for appointments etc.) via phone at
(714) 841-5333.
Pacifica Orthopedics Medical Corporation is licensed to practice in California (license number 20A4964) and it also participates in the medicare program. Pacifica Orthopedics Medical Corporation
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1558423418.
Healthcare Provider's Profile
| Full Name | Pacifica Orthopedics Medical Corporation |
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| Type | Facility |
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| Speciality | Orthopaedic Surgery |
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| Location | 18800 Delaware St, Huntington Beach, California |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1558423418
- Provider Enumeration Date: 12/15/2006
- Last Update Date: 07/16/2023
Medicare PECOS Information:
- PECOS PAC ID: 0446208375
- Enrollment ID: O20050107000393
Medical Identifiers
Medical identifiers for Pacifica Orthopedics Medical Corporation such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1558423418 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111NR0400X | Chiropractor - Rehabilitation | 19041 (California) | Secondary |
| 207X00000X | Orthopaedic Surgery | A94520 (California) | Secondary |
| 207X00000X | Orthopaedic Surgery | 20A4964 (California) | Primary |
| 207XS0117X | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine | A70813 (California) | Secondary |
| 2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | 20A8191 (California) | Secondary |
| 2251X0800X | Physical Therapist - Orthopedic | PT17708 (California) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Pacifica Orthopedics Medical Corporation acts as a billing entity for following providers:
| Provider Name | Paul E Wakim |
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| Provider Type | Practitioner - Orthopedic Surgery |
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| Provider Identifiers | NPI Number: 1891857405
PECOS PAC ID: 6103853825
Enrollment ID: I20050725000242 |
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| Provider Name | Emile P Wakim |
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| Provider Type | Practitioner - Orthopedic Surgery |
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| Provider Identifiers | NPI Number: 1255493136
PECOS PAC ID: 9032215264
Enrollment ID: I20070504000469 |
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| Provider Name | Ram Mudiyam |
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| Provider Type | Practitioner - Orthopedic Surgery |
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| Provider Identifiers | NPI Number: 1417957093
PECOS PAC ID: 1658458591
Enrollment ID: I20080402000888 |
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| Provider Name | Robert C Ahearn |
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| Provider Type | Practitioner - Orthopedic Surgery |
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| Provider Identifiers | NPI Number: 1497865257
PECOS PAC ID: 2466523717
Enrollment ID: I20080614000132 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Pacifica Orthopedics Medical Corporation is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Pacifica Orthopedics Medical Corporation
18800 Deleware St, Suite 1100,
Huntington Beach, CA 92648
Ph: (714) 841-5333 | Pacifica Orthopedics Medical Corporation
18800 Delaware St, Suite 1100,
Huntington Beach, CA 92648-1959
Ph: (714) 841-5333 |
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