OrganizationActive
Western Pacific Re-Hab
NPI 1205275195 · Methadone Clinic · Norwalk, CA
Western Pacific Re-Hab is a Methadone Clinic organization in Norwalk, CA (NPI 1205275195).
Provider details
- NPI number
- 1205275195
- Entity type
- Organization
- Primary specialty
- Methadone ClinicAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Hickman, Ceo(818) 956-3737
- License
- 19-124 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
11902 Rosecrans Ave Ste A&d
Norwalk, CA 90650-4197
Phone: (562) 929-7188
Fax: (562) 929-7575
Street-level locationGet directions
Mailing address
4544 San Fernando Rd
Glendale, CA 91204-1987
Registry dates
- Enumerated
- 2013-06-24
- Last updated
- 2020-02-25
- Certified
- 2020-02-25
Frequently asked questions
- What is Western Pacific Re-Hab's NPI number?
- Western Pacific Re-Hab's National Provider Identifier (NPI) is 1205275195, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Western Pacific Re-Hab?
- Western Pacific Re-Hab is classified in the NPPES registry as Methadone Clinic (Ambulatory Health Care Facilities).
- Where is Western Pacific Re-Hab located?
- Western Pacific Re-Hab's practice location on file with NPPES is 11902 Rosecrans Ave Ste A&d, Norwalk, CA 90650-4197.
- What is Western Pacific Re-Hab's phone number?
- The practice phone number listed in the NPPES registry for Western Pacific Re-Hab is (562) 929-7188.
- Who is the authorized official for Western Pacific Re-Hab?
- The authorized official listed on Western Pacific Re-Hab's NPPES record is Mark Hickman, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Western Pacific Re-Hab's NPI active?
- Yes — Western Pacific Re-Hab's NPI (1205275195) is active in the NPPES registry as of the last update on 2020-02-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.