OrganizationActive
Pacific Cddc
NPI 1861936601 · Medical Specialty Clinic/Center · Costa Mesa, CA
Provider details
- NPI number
- 1861936601
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Regent of the University of California
- Organization subpart
- Yes
- Authorized official
- Manuel Porto, President(714) 456-2986
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
1640 Newport Blvd
Suite 350
Costa Mesa, CA 92627-3786
Phone: (949) 386-5260
Fax: (949) 515-0031
Street-level locationGet directions
Mailing address
Po Box 54708
Los Angeles, CA 90054-0708
Registry dates
- Enumerated
- 2016-12-13
- Last updated
- 2016-12-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.