PACIFIC MEDICAL, INC. (NPI# 1730492653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730492653 |
Entity Type | Organization |
Organization Name | PACIFIC MEDICAL, INC. |
Other Organization Name | PACIFIC MEDICAL PROSTHETICS & ORTHOTICS |
Practice Address |
317 S 11th Ave Yakima WA 98902-3213 |
Mailing Address |
File 1616 1801 W Olympic Blvd Pasadena CA 91199-1616 |
Practice Telephone | 5094699995 |
Practice Fax Number | 5094699994 |
Mailing Telephone | 8007269180 |
Mailing Fax Number | 8008615950 |
Enumeration Date | 2010-07-20 |
Last Update Date | 2013-08-09 |
Authorized Official Name | MARK WEAVER (GENERAL COUNSEL/C.O.O.) |
Authorized Official Telephone | 8007269180 |
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 |
Other Name | Type Code |
---|---|
Pacific Medical Prosthetics & Orthotics | 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 |
317 S 11TH AVE |
City | YAKIMA |
State | WA |
Zip Code | 98902-3213 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821120338 | Michael P Woods | Optometrist | 317 S 11th Ave, Yakima, WA 98902-3213 | 2007-03-10 |
1366755373 | Kandace Gilman | Orthotist | 317 S 11th Ave, Yakima, WA 98902-3213 | 2010-07-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922653203 | Laboratory Corporation of America | Clinical Medical Laboratory | 314 S 11th Ave Suite A, Yakima, WA 98902 | 2019-08-05 |
1669967865 | Rebecca Schrader | Speech-Language Pathologist | Children's Village 3801 Kern Road, Yakima, WA 98902 | 2018-06-29 |
1720572928 | Hyperbaric Centers of Washington | Preventive Medicine | 302 S. 12th Ave., Yakima, WA 98902 | 2018-06-20 |
1487155503 | Courtney Lombardi | Nurse Practitioner | 1515 W Yakima Ave, Yakima, WA 98902 | 2018-02-23 |
1003329665 | Maria-elena Mendoza | Case Manager/Care Coordinator | 918 E Mead Avenue, Yakima, WA 98902 | 2017-11-06 |
1679017610 | Claudia Zepeda | Massage Therapist | 3908 Creekside Loop Ste # 110, Yakima, WA 98902 | 2016-12-09 |
1093194425 | Silas Klaver | Podiatrist | 1607 Creekside Loop Ste 140, Yakima, WA 98902 | 2015-05-18 |
1821490905 | Jen Lynn Silver | Massage Therapist | 3512 Tieton Dr, Yakima, WA 98902 | 2014-09-20 |
1194131383 | Brenna Claire Hayes | Genetic Counselor, MS | 2903 W Walnut, Yakima, WA 98902 | 2014-07-08 |
1720400435 | Agnes Nadine Jeske | Speech-Language Pathologist | 621 S. 13th Ave., Mckinley Elementary School, Yakima, WA 98902 | 2014-01-15 |
Find all providers in zip 98902 |
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 |
---|---|---|---|---|
1962682906 | Advanced Prosthetic & Orthotic Center, Inc | Prosthetic/Orthotic Supplier | 8511 Woodwinds Way, Yakima, WA 98908-1445 | 2007-11-07 |
1073621983 | Arnold Artificial Limb Inc | Prosthetic/Orthotic Supplier | 9 S 12th Ave, Yakima, WA 98902-3106 | 2006-08-29 |
1477539997 | Yakima Orthotics and Prosthetics, PC | Prosthetic/Orthotic Supplier | 313 S 9th Ave, Yakima, WA 98902-3516 | 2005-12-16 |
1003110461 | Yakima Orthotics & Prosthetics, PC | Prosthetic/Orthotic Supplier | 9 S 12th Ave, Yakima, WA 98902-3106 | 2010-12-28 |
1245437326 | Yakima Orthotics & Prosthetics, PC | Prosthetic/Orthotic Supplier | 313 S 9th Ave, Yakima, WA 98902-3516 | 2007-07-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699317784 | Preferred Orthotic and Prosthetic Services, Inc | Prosthetic/Orthotic Supplier | 520 S Cowley St Ste 104, Spokane, WA 99202-1315 | 2019-10-10 |
1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
1063906295 | Wmc Inc | Prosthetic/Orthotic Supplier | 2600 3rd Ave Ste B, Seattle, WA 98121-1293 | 2018-06-20 |
1174934707 | Nw Magnum LLC | Prosthetic/Orthotic Supplier | 108 Central Way, Kirkland, WA 98033-6106 | 2014-05-16 |
1205100013 | Cadence Biomedical, Inc. | Prosthetic/Orthotic Supplier | 146 N Canal St Ste 100, Seattle, WA 98103-8652 | 2012-02-27 |
1174807853 | Dental Sleep Therapy of Walla Walla Pllc | Prosthetic/Orthotic Supplier | 213 S 2nd Ave, Walla Walla, WA 99362-3002 | 2011-09-29 |
1922396159 | Hair Options | Prosthetic/Orthotic Supplier | 7106 Greenwood Ave N, Seattle, WA 98103-5038 | 2011-07-21 |
1083902746 | Seattle Cancer Care Alliance | Prosthetic/Orthotic Supplier | 207 Pontius Ave N, Suite 101, Seattle, WA 98109-5650 | 2011-07-15 |
1457645426 | Rcm Enterprise, LLC | Prosthetic/Orthotic Supplier | 8526 Delphi Rd Sw, Olympia, WA 98512-9349 | 2011-06-07 |
1417255019 | Beauty N Kurves LLC | Prosthetic/Orthotic Supplier | 513 1st Ave W, Seattle, WA 98119-3925 | 2011-03-05 |
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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.