Healthcare Provider Details

I. General information

NPI: 1609796903
Provider Name (Legal Business Name): ANALISSA PACHECO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANALISA PACHECO FNP-BC

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5901 E 7TH ST
LONG BEACH CA
90822-5201
US

IV. Provider business mailing address

42 PARSONS ST
BRIGHTON MA
02135-2739
US

V. Phone/Fax

Practice location:
  • Phone: 562-826-8000
  • Fax:
Mailing address:
  • Phone: 323-369-9636
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number2026004032
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: