PACIFIC MEDICAL, INC. (NPI# 1891101051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891101051 |
| Entity Type | Organization |
| Organization Name | PACIFIC MEDICAL, INC. |
| Other Organization Name | PACIFIC MEDICAL PROSTHETICS & ORTHOTICS |
| Practice Address |
961 Matley Ln Ste 160 Reno NV 89502-2188 |
| Mailing Address |
1700 Nchrisman Rd Tracy CA 95304-9314 |
| Practice Telephone | 7753242394 |
| Practice Fax Number | 7753242918 |
| Mailing Telephone | 8007269180 |
| Mailing Fax Number | 8008615950 |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2015-07-29 |
| Authorized Official Name | MARK WEAVER (GENERAL COUNSEL) |
| Authorized Official Telephone | 8007269180 |
| Authorized Official Credential | JD |
| Is Organization Subpart | Y |
| Parent Organization Name | PACIFIC MEDICAL, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 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 |
961 MATLEY LN STE 160 |
| City | RENO |
| State | NV |
| Zip Code | 89502-2188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114467222 | Engage Movement Physio and Performance LLC | Clinic/Center | 961 Matley Ln, #170, Reno, NV 89502-2188 | 2017-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314264 | State of Nevada | Community/Behavioral Health | 4600 Kietzke Lane Bldg D, Reno, NV 89502 | 2020-07-23 |
| 1447879259 | Ryan Johnson | Student in an Organized Health Care Education/Training Program | 1155 Mill St. W-11, Reno, NV 89502 | 2020-04-11 |
| 1396378063 | Domingko Loney | Chore Provider | 1325 Air Motive Wat St 262, Reno, NV 89502 | 2020-02-20 |
| 1053954842 | Derek Craig | Home Health Aide | 1000 Havard Way #29, Reno, NV 89502 | 2019-10-24 |
| 1477108124 | Marisa Rachael Traversie | Nurse Practitioner | 910 Vista Boulevard, Sparks, NV 89502 | 2019-08-08 |
| 1912564675 | Patrick Llewellyn Merrill | Social Worker | 975 Kirman Ave - Ch 116, Reno, NV 89502 | 2019-05-28 |
| 1881154706 | Naresh Kumar Veerabattini | Student in an Organized Health Care Education/Training Program | 1155 Mill St, Renown Regional Medical Center, W11 Academic Department Offices, Reno, NV 89502 | 2019-03-25 |
| 1053899187 | Daphne London | Behavioral Analyst | 1325 Airmotive Way Ste 260, Reno, NV 89502 | 2018-07-31 |
| 1790271609 | Jennifer J Padolina | Optometrist | 2296 Kietzke Ln, Reno, NV 89502 | 2018-07-03 |
| 1336630185 | Lindsey Cherie Cooper | Technician | 3563 Sol Grande Ct, Reno, NV 89502 | 2018-05-27 |
| Find all providers in zip 89502 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972132678 | Nevada Prime Healthcare LLC | Durable Medical Equipment & Medical Supplies | 800 Haskell St Ste 203, Reno, NV 89509-2893 | 2020-04-04 |
| 1013567254 | Tuong An Ngo | Durable Medical Equipment & Medical Supplies | 3150 Platte River Dr, Reno, NV 89503-1875 | 2019-09-19 |
| 1811554363 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 300 S Wells Ave Ste 3, Reno, NV 89502-1670 | 2019-05-21 |
| 1821558685 | Andrew Morschl | Durable Medical Equipment & Medical Supplies | 6200 Meadowood Mall Cir Apt 699, Reno, NV 89502-6682 | 2019-03-20 |
| 1225593262 | Nevada Prime Healthcare LLC | Durable Medical Equipment & Medical Supplies | 1840 Cascade Stable Dr, Reno, NV 89521-4504 | 2019-02-04 |
| 1962951137 | Allen Mathue Seals | Durable Medical Equipment & Medical Supplies | 2190 Brittany Meadows Dr, Reno, NV 89521-7289 | 2016-09-28 |
| 1669927083 | T3 Medical | Durable Medical Equipment & Medical Supplies | 9855 Double R Blvd, Suite 210, Reno, NV 89521-6027 | 2016-08-16 |
| 1336569920 | Gensano LLC | Durable Medical Equipment & Medical Supplies | 8630 Technology Way, Suite A, Reno, NV 89521-6033 | 2014-04-22 |
| 1326318999 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 250 Vista Knoll Pkwy, Reno, NV 89506-5594 | 2012-01-12 |
| 1528343282 | Sanare LLC | Durable Medical Equipment & Medical Supplies | 6160 Plumas St, Reno, NV 89519-6073 | 2011-10-13 |
| Find all providers in RENO | ||||
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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.