OrganizationActive
Western Pacific Med/Corp
NPI 1720279441 · Methadone Clinic · Glendale, CA
Western Pacific Med/Corp is a Methadone Clinic organization in Glendale, CA (NPI 1720279441).
Provider details
- NPI number
- 1720279441
- Entity type
- Organization
- Primary specialty
- Methadone ClinicAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Hickman, Ceo(818) 956-3737
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
4632 San Fernando Rd
Glendale, CA 91204-1822
Phone: (818) 956-3737
Fax: (818) 543-6767
Street-level locationGet directions
Mailing address
4632 San Fernando Rd
Glendale, CA 91204-1822
Registry dates
- Enumerated
- 2007-08-07
- Last updated
- 2007-09-05
Frequently asked questions
- What is Western Pacific Med/Corp's NPI number?
- Western Pacific Med/Corp's National Provider Identifier (NPI) is 1720279441, 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 4632 San Fernando Rd, Glendale, CA 91204-1822.
- 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, Ceo. 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 (1720279441) is active in the NPPES registry as of the last update on 2007-09-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.