NPI
Pacifica Linda Mar Inc.
NPI 1003891516
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2005-12-07
- Last updated
- 2024-04-05
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Specialties
Licenses
- License CA
- 220000095
Location
- Practice location
- 751 San Pedro Terrace Rd
- City
- Pacifica CA
- Postal code
- 94044-4101
- Phone
- (650) 359-4800
Organization contact
- Name
- Marc Johnson
- Title
- Cfo
- Phone
- (949) 373-8373
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Pacifica, CA. 347 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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