<?xml version="1.0"?>
<ownershipDocument>

    <schemaVersion>X0202</schemaVersion>

    <documentType>3</documentType>

    <periodOfReport>2006-11-21</periodOfReport>

    <noSecuritiesOwned>1</noSecuritiesOwned>

    <issuer>
        <issuerCik>0001071598</issuerCik>
        <issuerName>PAC-WEST TELECOMM INC</issuerName>
        <issuerTradingSymbol>PACW.PK</issuerTradingSymbol>
    </issuer>

    <reportingOwner>
        <reportingOwnerId>
            <rptOwnerCik>0001382113</rptOwnerCik>
            <rptOwnerName>Hensel James F</rptOwnerName>
        </reportingOwnerId>
        <reportingOwnerAddress>
            <rptOwnerStreet1>C/O PAC-WEST TELECOMM, INC.</rptOwnerStreet1>
            <rptOwnerStreet2>1776 W. MARCH LANE, SUITE 250</rptOwnerStreet2>
            <rptOwnerCity>STOCKTON</rptOwnerCity>
            <rptOwnerState>CA</rptOwnerState>
            <rptOwnerZipCode>95207</rptOwnerZipCode>
            <rptOwnerStateDescription></rptOwnerStateDescription>
        </reportingOwnerAddress>
        <reportingOwnerRelationship>
            <isDirector>1</isDirector>
            <isOfficer>0</isOfficer>
            <isTenPercentOwner>0</isTenPercentOwner>
            <isOther>0</isOther>
            <officerTitle></officerTitle>
            <otherText></otherText>
        </reportingOwnerRelationship>
    </reportingOwner>

    <remarks></remarks>

    <ownerSignature>
        <signatureName>/s/ James F. Hensel by Michael L. Sarina, Attorney-In-Fact</signatureName>
        <signatureDate>2006-11-30</signatureDate>
    </ownerSignature>
</ownershipDocument>
