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NPI Code Detail

MEDICARE: CASA PACIFICA CENTERS FOR CHILDREN AND FAMILIES

MEDICARE: CASA PACIFICA CENTERS FOR CHILDREN AND FAMILIES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1322D00000XEmotionally Disturbed Childrens' Residential Treatment Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100275OTHERCADMH LEGAL ENTITY NUMBER
2CMM70656FOTHERCAMEDI-CAL LEGACY NUMBER
3050000417OTHERCADEPT. PUBLIC HEALTH LICENSE

General Provider Information

NPI Number : 1154413854
Entity Type Code : Organization
Provider Name (Legal Business Name) : CASA PACIFICA CENTERS FOR CHILDREN AND FAMILIES
Provider Business Mailing Address
First Line : 1722 S LEWIS RD
Second Line :
City : CAMARILLO
State : CA
Zip : 93012-8520
Country : US
Telephone Number : 805-445-7800
Fax Number : 805-987-7237
Provider Business Practice Location Address
First Line : 1728 S LEWIS RD
Second Line :
City : CAMARILLO
State : CA
Zip : 93012-8520
Country : US
Telephone Number : 805-445-7800
Fax Number : 805-987-7237
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : SHAWNA MORRIS
Credential :
Telephone Number : 805-366-4343
Provider Enumeration Date : 09/29/2006
Last Update Date : 05/28/2025

Similar Medicare Providers

1922245612 — NOEMI SANCHEZ
Practice Location Address:
1722 S LEWIS RD
CAMARILLO, CA
93012-8520
Practice Phone: 805-239-3822
Practice Fax:
1063423747 — MRS. MARCI JANE SPRUILL MSN, CPNP
Practice Location Address:
1722 S LEWIS RD
CAMARILLO, CA
93012-8520
Practice Phone: 805-445-7837
Practice Fax: 805-445-7830
1326124579 — TELECARE CORPORATION
Practice Location Address:
1750 S LEWIS RD
CAMARILLO, CA
93012-8520
Practice Phone: 805-383-3669
Practice Fax: 805-383-3692
1619055183 — SARAH ANN ROBLES
Practice Location Address:
1722 S LEWIS RD
CAMARILLO, CA
93012-8520
Practice Phone: 805-445-7800
Practice Fax:
1275611865 — PAMELA FISHER
Practice Location Address:
1722 S LEWIS RD
CAMARILLO, CA
93012-8520
Practice Phone: 805-445-7800
Practice Fax: 805-482-0973
1144308487 — DR. KIMBERLY NOELLE VALENZUELA PSY.D.
Practice Location Address:
1722 S LEWIS RD
CAMARILLO, CA
93012-8520
Practice Phone: 805-445-7800
Practice Fax: 805-739-8863

Directions to “CASA PACIFICA CENTERS FOR CHILDREN AND FAMILIES ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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