PACIFIC MEDICAL, INC. (NPI# 1316188303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316188303 |
| Entity Type | Organization |
| Organization Name | PACIFIC MEDICAL, INC. |
| Other Organization Name | PACIFIC MEDICAL MEDICAL & PROSTHETICS |
| Practice Address |
7308 Bridgeport Way W Suite 204 Lakewood WA 98499-8000 |
| Mailing Address |
File 1616 1801 W Olympic Blvd Pasadena CA 91199-1616 |
| Practice Telephone | 2535884749 |
| Practice Fax Number | 2535884581 |
| Mailing Telephone | 8007269180 |
| Mailing Fax Number | 8008615950 |
| Enumeration Date | 2009-03-20 |
| Last Update Date | 2015-02-04 |
| Authorized Official Name | MARK L. WEAVER (GENERAL COUNSEL) |
| Authorized Official Telephone | 8007269180 |
| Authorized Official Credential | JD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE PROVIDER NUMBER | 0695470001 | 01 |
| Other Name | Type Code |
|---|---|
| Pacific Medical Medical & Prosthetics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346735933 | Pacific Medical, Inc. | Prosthetic/Orthotic Supplier | 1024 W Robinhood Dr Ste 2, Stockton, CA 95207-5644 | 2018-06-26 |
| 1548784036 | Pacific Medical, Inc. | Durable Medical Equipment & Medical Supplies | 901 N Curtis Rd Ste 101, Boise, ID 83706-1339 | 2017-07-27 |
| 1336678879 | Pacific Medical, Inc. | Prosthetic/Orthotic Supplier | 309 W Main St Ste 104, Visalia, CA 93291-6257 | 2017-06-08 |
| 1952718280 | Pacific Medical, Inc. | Durable Medical Equipment & Medical Supplies | 2529 152nd Ave Ne, Redmond, WA 98052-5550 | 2014-07-18 |
| 1275940553 | Pacific Medical, Inc. | Durable Medical Equipment & Medical Supplies | 87 Centennial Loop, Eugene, OR 97401-7907 | 2014-07-17 |
| 1730596016 | Pacific Medical, Inc. | Durable Medical Equipment & Medical Supplies | 123 W Nye Ln Ste 131, Carson City, NV 89706-0838 | 2014-07-17 |
| 1740697242 | Pacific Medical, Inc. | Durable Medical Equipment & Medical Supplies | 9 Soledad Dr, Ste D, Monterey, CA 93940-6036 | 2014-07-16 |
| 1558778068 | Pacific Medical, Inc. | Durable Medical Equipment & Medical Supplies | 4554 Broad St, Ste 110, San Luis Obispo, CA 93401-8712 | 2014-07-16 |
| 1275940785 | Pacific Medical, Inc. | Durable Medical Equipment & Medical Supplies | 2030 Alameda Padre Serra, Ste 123, Santa Barbara, CA 93103-1704 | 2014-07-16 |
| 1649687138 | Pacific Medical, Inc. | Durable Medical Equipment & Medical Supplies | 3300 Providence Dr Ste B112, Anchorage, AK 99508-4690 | 2014-07-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PACIFIC MEDICAL, INC | 1700 N Chrisman Rd, Tracy, CA 95304-9314 |
| Oregon Corporations, Companies and Business Names | PACIFIC MEDICAL, INC. | 1700 N Chrisman Rd, Tracy, CA 95304 |
| Washington State Corporations | PACIFIC MEDICAL, INC. | 1700 N Chrisman Rd, Tracy, CA 95304 |
| Street Address |
7308 BRIDGEPORT WAY W SUITE 204 |
| City | LAKEWOOD |
| State | WA |
| Zip Code | 98499-8000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114921707 | Julian S Arroyo | Orthopaedic Surgery | 7308 Bridgeport Way W, Ste 201, Lakewood, WA 98499-8000 | 2005-06-10 |
| 1629518105 | Emily N Billings | Physical Therapist | 7308 Bridgeport Way W, Suite 103, Lakewood, WA 98499-8000 | 2017-03-02 |
| 1124493440 | Linda Phimmavong | Massage Therapist | 7308 Bridgeport Way W, Ste. 103, Lakewood, WA 98499-8000 | 2015-12-11 |
| 1376910125 | Krista Elizabeth Guyll | Physician Assistant | 7308 Bridgeport Way W, Suite 201, Lakewood, WA 98499-8000 | 2015-08-27 |
| 1790151538 | Timothy J. Mann | Physical Therapist | 7308 Bridgeport Way W, Ste. 103, Lakewood, WA 98499-8000 | 2015-08-17 |
| 1790161578 | Emma Nicole Mcnutt | Massage Therapist | 7308 Bridgeport Way W, Ste. 103, Lakewood, WA 98499-8000 | 2015-08-04 |
| 1346655941 | Rachelle Kay Denman Sherwood | Physical Therapist | 7308 Bridgeport Way W, Ste. 103, Lakewood, WA 98499-8000 | 2014-06-23 |
| 1487065819 | Daniel Marler | Orthotist | 7308 Bridgeport Way W, Ste 204, Lakewood, WA 98499-8000 | 2014-05-20 |
| 1982014437 | Marvin Soriano | Physician Assistant | 7308 Bridgeport Way W, Suite 201, Lakewood, WA 98499-8000 | 2014-05-06 |
| 1427497668 | Mellissa Anne Selander | Massage Therapist | 7308 Bridgeport Way W, Ste. 103, Lakewood, WA 98499-8000 | 2013-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275159592 | Sea Mar Community Health Centers | Clinic/Center | 5700 100th Street Se, Suite 510, Lakewood, WA 98499 | 2020-06-23 |
| 1568018828 | Heather Leigh Andrade | Behavioral Analyst | 6210 75th St W Ste 100, Lakewood, WA 98499 | 2019-08-13 |
| 1043870876 | Seoul Chinese Herbs Inc | Acupuncturist | 8705 S. Tacoma Way, Lakewood, WA 98499 | 2019-06-14 |
| 1013572064 | Puget Sound Kidney Centers | Clinic/Center | 11950 47th Ave Sw, Lakewood, WA 98499 | 2019-05-06 |
| 1447736657 | Marcela Cunan | Counselor | 9330 59th Avenue Southest, Lakewood, WA 98499 | 2018-07-11 |
| 1609382381 | Leroy Moore IIi | Counselor | 8811 S. Tacoma Way, 106, Lakewood, WA 98499 | 2017-12-18 |
| 1578077657 | Andrea Gaston | Behavior Technician | 8815 S. Tacoma Way, Suite 122, Lakewood, WA 98499 | 2017-11-27 |
| 1609389931 | Jennifer King | Social Worker | 5900 100th St Sw Ste 17b, Lakewood, WA 98499 | 2017-11-08 |
| 1750806337 | Wonyoung Lee | Counselor | 8811 South Tacoma Way, Suite 106, Lakewood, WA 98499 | 2017-08-04 |
| 1043749443 | Frederick Paltron Edwards | Counselor | 9500 Front Street, Suite 100, Lakewood, WA 98499 | 2017-06-08 |
| Find all providers in zip 98499 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811457088 | Evening Elegance LLC | Prosthetic/Orthotic Supplier | 14500 W Colfax Ave Unit 246, Lakewood, CO 80401 | 2019-03-22 |
| 1760968796 | Fountain Valley Orthotics and Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 3650 South St Ste 110b, Lakewood, CA 90712-1502 | 2018-07-12 |
| 1780915744 | Los Angeles Orthopedic Group Inc | Prosthetic/Orthotic Supplier | 5257 Paramount Blvd, Lakewood, CA 90712-2121 | 2010-01-14 |
| 1861720898 | Gina's Salon & Wigs | Prosthetic/Orthotic Supplier | 17303 Detroit Ave, Lakewood, OH 44107-3426 | 2009-12-02 |
| 1720144330 | Associated Prosthetics and Orthotics | Prosthetic/Orthotic Supplier | 5241 Paramount Blvd, Lakewood, CA 90712-2121 | 2006-12-28 |
| 1386647543 | Colorado Professional Medical, Inc | Prosthetic/Orthotic Supplier | 11750 W 2nd Pl, St. Anthony Medical Plaza, Lakewood, CO 80228-1575 | 2005-05-23 |
| 1093352965 | Evening Elegance LLC | Prosthetic/Orthotic Supplier | 14500 W Colfax Ave Unit 246, Lakewood, CO 80401-3227 | 2019-12-10 |
| 1073162244 | Active Life, Inc. | Prosthetic/Orthotic Supplier | 3300 E South St Ste 305, Lakewood, CA 90805-4595 | 2019-09-10 |
| 1164927000 | Comfort Medical Supply Inc | Prosthetic/Orthotic Supplier | 1000 Route 70 Ste 9, Lakewood, NJ 08701-5961 | 2018-03-23 |
| 1063780377 | Lizotte P&o Associates LLC | Prosthetic/Orthotic Supplier | 5605 100th St Sw, Suite A, Lakewood, WA 98499-2710 | 2011-12-01 |
| Find all providers in LAKEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.