Organization
PACIFIC HORIZONS OF CALIFORNIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTTY ROBERT MOORE (EXECUTIVE DIRECTOR)
(424) 485-6684
Entity
Organization
Contact information
Practice address
359 REDONDO AVE, LONG BEACH, CA 90814-2656
(424) 485-6684
Mailing address
2108 N ST STE N, SACRAMENTO, CA 95816-5712
(424) 485-6684
(424) 566-9582
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
171400000X
Health & Wellness Coach
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
1744G0900X
Graphics Designer
—
—
175T00000X
Peer Specialist
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251M8IOL
—
CA
Enumeration date
01/22/2025
Last updated
02/17/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up