DR. KEVIN PACHECO (D.O.) – General Practice Physician, NPI 1881980704

DR. KEVIN PACHECO (D.O.) is a healthcare provider. based in Long beach, California. specializing in General Practice Physician. They hold the professional credentials D.O.. They hold a License No. 13342 (CA). The NPI Number for DR. KEVIN PACHECO (D.O.) is 1881980704

Main info

Male
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEVIN PACHECO (D.O.)
NPI
1881980704
Phone
(607) 759-0016
Address
1140 E OCEAN BLVD UNIT 301
Enumeration Date
20 June 2011
Last Update Date
4 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4243388144
Graduation Year
2011 (15 years ago)
PAC ID
6204051758
Group Practice PAC ID
2860707304
Professional Enrollment ID
I20140625002693
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience75
Completeness75
Years active:14State licenses:3Digital endpointsOther names

Provider Addresses for DR. KEVIN PACHECO (D.O.)

  • 1140 E OCEAN BLVD UNIT 301

    LONG BEACH, CA 908025664

    Phone: (607) 759-0016

    Type: Mailing

  • 3751 KATELLA AVE

    LOS ALAMITOS, CA 90720

    Phone: (562) 598-2411

    Type: Location

  • 2505 OAKWOOD DR

    GRAND PRAIRIE, TX 750501725

    Phone: (214) 400-7527

    Type: Mailing

  • 2505 Oakwood Dr

    Grand Prairie, TX 750501725

    Phone: (214) 400-7527

    Type: Location

  • EDIFICIO ADRIATICO

    BOULEVARD DENT

    SAN PEDRO, SAN JOSE 11501

    Phone: (506) 719-6863

    Type: Location

  • 300 W OCEAN BLVD APT 6114

    LONG BEACH, CA 908028029

    Phone: (607) 759-0016

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-09-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140625002693IGeneral PracticeCATBD
I20220917000466IEmergency MedicineTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making196187$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only123117$0
99284Emergency department visit with moderate level of medical decision making5858$0
99291Critical care, first 30-74 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 90802)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2860707304View full group profile

Reviews

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Frequently asked questions

Is DR. KEVIN PACHECO (D.O.) listed with a National Provider Identifier?
Yes — DR. KEVIN PACHECO (D.O.) has NPI 1881980704 on file in the registry.
Is DR. KEVIN PACHECO (D.O.) still an active registrant?
DR. KEVIN PACHECO (D.O.) carries an active NPI according to the public dataset.
What clinical focus is listed for DR. KEVIN PACHECO (D.O.)?
At a glance, DR. KEVIN PACHECO (D.O.) is tied to General Practice Physician. Clinical services aligned with this taxonomy classification.
Is DR. KEVIN PACHECO (D.O.) associated with Long Beach?
Public fields place DR. KEVIN PACHECO (D.O.) around Long Beach, California. Always confirm the exact site before visiting.
Can I trust this NPI listing for DR. KEVIN PACHECO (D.O.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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