Pacific Cddc
NPI 1124402284 · Medical Specialty Clinic/Center · Costa Mesa, CA
Pacific Cddc is a Medical Specialty Clinic/Center organization in Costa Mesa, CA (NPI 1124402284).
Provider details
- NPI number
- 1124402284
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Regents of the University of California
- Organization subpart
- Yes
- Authorized official
- Manuel Porto, Interim President(714) 456-2986
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-07-17
- Last updated
- 2015-07-17
Frequently asked questions
- What is Pacific Cddc's NPI number?
- Pacific Cddc's National Provider Identifier (NPI) is 1124402284, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pacific Cddc?
- Pacific Cddc is classified in the NPPES registry as Medical Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Pacific Cddc located?
- Pacific Cddc's practice location on file with NPPES is 1640 Newport Blvd, Costa Mesa, CA 92627-3786.
- What is Pacific Cddc's phone number?
- The practice phone number listed in the NPPES registry for Pacific Cddc is (949) 386-5260.
- Who is the authorized official for Pacific Cddc?
- The authorized official listed on Pacific Cddc's NPPES record is Manuel Porto, Interim President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pacific Cddc's NPI active?
- Yes — Pacific Cddc's NPI (1124402284) is active in the NPPES registry as of the last update on 2015-07-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.