PACIFIC MEDICAL, INC. (NPI# 1033367271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033367271 |
| Entity Type | Organization |
| Organization Name | PACIFIC MEDICAL, INC. |
| Other Organization Name | PACIFIC MEDICAL PROSTHETICS & ORTHOTICS |
| Practice Address |
3001 L St Sacramento CA 95816-5225 |
| Mailing Address |
File 1616 1801 W Olympic Blvd Pasadena CA 91199-1616 |
| Practice Telephone | 9167061520 |
| Practice Fax Number | 9167061551 |
| Mailing Telephone | 8007269180 |
| Mailing Fax Number | 8008615950 |
| Enumeration Date | 2008-08-29 |
| 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 |
| 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 |
3001 L ST |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95816-5225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992993554 | Ferhan Inam Maher | Orthotist | 3001 L St, Sacramento, CA 95816-5225 | 2007-10-09 |
| 1225429798 | Shannon Mullaney | Orthotist | 3001 L St, Sacramento, CA 95816-5225 | 2015-02-05 |
| 1700282423 | Michael Angel | Orthotic Fitter | 3001 L St, Sacramento, CA 95816-5225 | 2014-11-06 |
| 1144625278 | Chris Haas | Orthotic Fitter | 3001 L St, Sacramento, CA 95816-5225 | 2014-10-31 |
| 1467857581 | Justin Crandell | Orthotic Fitter | 3001 L St, Sacramento, CA 95816-5225 | 2014-10-31 |
| 1588950653 | Lucas Broadhurst | Orthotist | 3001 L St, Sacramento, CA 95816-5225 | 2011-06-27 |
| 1164718235 | George Villarruel | Prosthetist | 3001 L St, Sacramento, CA 95816-5225 | 2011-06-27 |
| 1265688592 | David J. Scurti | Orthotist | 3001 L St, Sacramento, CA 95816-5225 | 2008-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
| 1417418955 | Soraya Foutouhi | Student in an Organized Health Care Education/Training Program | 301 C Street, Suite 1400, Sacramento, CA 95816 | 2019-03-27 |
| 1265902704 | Daljit Girn | Behavior Technician | 1315 Alhambra Blvd Ste 110, Sacramento, CA 95816 | 2018-11-27 |
| 1609385178 | Jared James Harold-husted | Behavior Technician | 3031 C St, Sacramento, Sacramento, CA 95816 | 2017-09-27 |
| 1124537170 | Phuong Huynh | Behavior Technician | 3009 C Street, Sacramento, CA 95816 | 2017-09-21 |
| 1427570811 | Manpreet Kaur Chehal | Counselor | 500 22nd Street, Sacramento, CA 95816 | 2017-07-07 |
| 1295264646 | Veronica Lynn Just | Behavior Technician | 3031 C St., Sacramento, CA 95816 | 2017-06-08 |
| 1285163907 | Marquise Jones | Behavior Technician | 3031 C Street, Sacramento, CA 95816 | 2017-06-06 |
| 1578007159 | Kate Hanel | Student in an Organized Health Care Education/Training Program | 2500 I St, Sacramento, CA 95816 | 2016-12-15 |
| 1184174534 | Jennifer M Stegner | Nurse Practitioner | 1625 Stockton Blvd #104, Sacramento, CA 95816 | 2016-10-10 |
| Find all providers in zip 95816 | ||||
| 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 |
|---|---|---|---|---|
| 1972147916 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 2825 J St Ste 325, Sacramento, CA 95816-4300 | 2019-11-02 |
| 1487806865 | Collier Orthotics and Prosthetics Sacramento, Inc. | Prosthetic/Orthotic Supplier | 3814 Auburn Blvd Ste 75, Sacramento, CA 95821-2123 | 2008-10-16 |
| 1962601302 | Anchor Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 1828 Tribute Rd Ste G, Sacramento, CA 95815-4310 | 2007-07-16 |
| 1942354584 | West Coast Prosthetics | Prosthetic/Orthotic Supplier | 65 Quinta Ct Ste I, Sacramento, CA 95823-4310 | 2007-01-22 |
| 1306911227 | Anchor Orthotics & Prosthetics | Prosthetic/Orthotic Supplier | 3838 Watt Ave Ste A110, Sacramento, CA 95821-2689 | 2006-11-24 |
| 1982715793 | Phillip A Danz & Associates | Prosthetic/Orthotic Supplier | 1736 Professional Dr, Sacramento, CA 95825-2105 | 2006-08-31 |
| 1518983980 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 1651 Arden Way, Sacramento, CA 95815-4004 | 2006-07-15 |
| 1821083163 | Professional Orthopedic Systems of Sacramento, LLC | Prosthetic/Orthotic Supplier | 5049 College Oak Dr, Suite F, Sacramento, CA 95841-4630 | 2005-09-13 |
| 1073973194 | Compression Obsession | Prosthetic/Orthotic Supplier | 650 University Ave, Suite 109, Sacramento, CA 95825 | 2016-03-02 |
| 1245698984 | At Last Bra and Lingerie Boutique LLC | Prosthetic/Orthotic Supplier | 1325 Howe Ave, Suite 100, Sacramento, CA 95825-3364 | 2016-02-09 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95816 |
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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.