OrganizationActive
Casa Pacifica
NPI 1295109817 · Emotionally Disturbed Childrens' Residential Treatment Facility · Ventura, CA
Provider details
- NPI number
- 1295109817
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Parent organization
- 5450
- Organization subpart
- Yes
- Authorized official
- Mizella Haywood, Director of Credentialing(805) 445-7800
- License
- MFC29100 (CA)
Specialties & taxonomies
- Emotionally Disturbed Childrens' Residential Treatment FacilityPrimary322D00000XLicense MFC29100 (CA)
Residential Treatment Facilities
Profile Score
Established profile(73/100 index)
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
1021 Scandia Ave
49
Ventura, CA 93004-2473
Phone: (805) 248-1705
Fax: (805) 987-0258
Street-level locationGet directions
Mailing address
1722 Lewis Road
Camirrilo, CA 93004-2610
Other names (DBA / former)
- Doing business as
- None
Registry dates
- Enumerated
- 2015-11-19
- Last updated
- 2015-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.