Western Pacific Med-Corp
NPI 1124160080 · Methadone Clinic · North Hollywood, CA
Western Pacific Med-Corp is a Methadone Clinic organization in North Hollywood, CA (NPI 1124160080).
Provider details
- NPI number
- 1124160080
- Entity type
- Organization
- Primary specialty
- Methadone ClinicAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Hickman, C.e.o.(818) 956-3737
- License
- 19-139 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
3,901 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Medication Assisted Treatment, Methadone; Weekly Bundle Including Dispensing And/Or Administration, Substance Use Counseling, Individual and Group Therapy, and Toxicology Testing, If Performed (provision of the Services By a Medicare-Enrolled Opioid TreatmG2067 | 3,901 | $40 |
Typical Medicare-allowed amounts for these services range $40–$40 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-02-13
- Last updated
- 2020-02-06
- Certified
- 2020-02-06
Frequently asked questions
- What is Western Pacific Med-Corp's NPI number?
- Western Pacific Med-Corp's National Provider Identifier (NPI) is 1124160080, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Western Pacific Med-Corp?
- Western Pacific Med-Corp is classified in the NPPES registry as Methadone Clinic (Ambulatory Health Care Facilities).
- Where is Western Pacific Med-Corp located?
- Western Pacific Med-Corp's practice location on file with NPPES is 4838 Laurel Canyon Blvd, North Hollywood, CA 91607-3717.
- What is Western Pacific Med-Corp's phone number?
- The practice phone number listed in the NPPES registry for Western Pacific Med-Corp is (818) 956-3737.
- Who is the authorized official for Western Pacific Med-Corp?
- The authorized official listed on Western Pacific Med-Corp's NPPES record is Mark Hickman, C.e.o.. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Western Pacific Med-Corp's NPI active?
- Yes — Western Pacific Med-Corp's NPI (1124160080) is active in the NPPES registry as of the last update on 2020-02-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.