PACIFIC MEDICAL, INC. (NPI# 1558778068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558778068 |
| Entity Type | Organization |
| Organization Name | PACIFIC MEDICAL, INC. |
| Practice Address |
4554 Broad St Ste 110 San Luis Obispo CA 93401-8712 |
| Mailing Address |
1700 N Chrisman Rd Tracy CA 95304-9314 |
| Practice Telephone | 8057832757 |
| Practice Fax Number | 8662340866 |
| Mailing Telephone | 8057832757 |
| Mailing Fax Number | 8662340866 |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2014-07-16 |
| Authorized Official Name | MARK 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 |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| 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 |
| 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 |
| 1891101051 | Pacific Medical, Inc. | Prosthetic/Orthotic Supplier | 961 Matley Ln, Ste 160, Reno, NV 89502-2188 | 2014-07-09 |
| 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 |
4554 BROAD ST STE 110 |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip Code | 93401-8712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497228399 | Barbara Jean Morrow | Dental Hygienist | 2191 Johnson Avenue, San Luis Obispo, CA 93401 | 2019-01-03 |
| 1104307743 | Griffith Jennings | Counselor | 1225 Kendal Rd, San Luis Obispo, CA 93401 | 2018-08-22 |
| 1124518808 | Joy L Delaluna | Licensed Psychiatric Technician | 692 Evens Rd, San Luis Obispo, CA 93401 | 2018-05-17 |
| 1982192084 | Sierra Mental Wellness Group | Community/Behavioral Health | 2180 B Johnson Avenue, San Luis Obispo, CA 93401 | 2018-04-25 |
| 1326554403 | Veronica Chanel Laguna | Case Manager/Care Coordinator | 1065 Kansas Ave., San Luis Obispo, CA 93401 | 2017-12-27 |
| 1043739782 | Janette Lynn Branca | Case Manager/Care Coordinator | 285 South Street, Suit J, San Louis Obispo, CA 93401 | 2017-09-13 |
| 1588194104 | Adv Vision LLC | Optometrist | 835 Aero Vista Pl, #110, San Luis Obispo, CA 93401 | 2017-06-15 |
| 1508395880 | Samantha Clay | Counselor | 1255 Kendall Road, San Luis Obispo, CA 93401 | 2017-06-08 |
| 1659804771 | Sara Anne Powers | Counselor | 697 Higuera Street D, San Luis Obispo, CA 93401 | 2017-04-05 |
| 1508306010 | Russell Piazza | Pharmacist | 873 Ricardo Court, San Luis Obispo, CA 93401 | 2017-03-02 |
| Find all providers in zip 93401 | ||||
| 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 |
|---|---|---|---|---|
| 1578181095 | Smrt LLC | Durable Medical Equipment & Medical Supplies | 1317 Broad St Ste B, San Luis Obispo, CA 93401-3909 | 2020-07-10 |
| 1104440015 | Sg Homecare, Inc | Durable Medical Equipment & Medical Supplies | 1140 Kendall Rd Ste B, San Luis Obispo, CA 93401-8047 | 2020-06-05 |
| 1558858035 | Hullander and Mozingo Lp | Durable Medical Equipment & Medical Supplies | 1551 Bishop St Ste 220, San Luis Obispo, CA 93401-4661 | 2018-04-19 |
| 1376998401 | Central Coast Home Health, Inc. | Durable Medical Equipment & Medical Supplies | 243 Granada Dr Ste A, Suite A, San Luis Obispo, CA 93401-7336 | 2016-04-26 |
| 1902200918 | Wallace Home Medical Supplies | Durable Medical Equipment & Medical Supplies | 12310 Los Osos Valley Rd, San Luis Obispo, CA 93405-7220 | 2014-10-20 |
| 1114211612 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 11990 Los Osos Valley Rd, San Luis Obispo, CA 93405-6861 | 2011-06-02 |
| 1376878215 | Sequoia Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 12324 Los Osos Valley Rd, San Luis Obispo, CA 93405-7220 | 2009-10-09 |
| 1841475837 | Lifecare Solutions Inc | Durable Medical Equipment & Medical Supplies | 174 Suburban Rd Ste 100, San Luis Obispo, CA 93401 | 2008-01-08 |
| 1063583078 | Healthplus Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 948 E Foothill Blvd Ste A, San Luis Obispo, CA 93405-2701 | 2006-11-13 |
| 1790886968 | Michael's Optical Inc. | Durable Medical Equipment & Medical Supplies | 719 Higuera St, San Luis Obispo, CA 93401-3512 | 2006-09-26 |
| Find all providers in SAN LUIS OBISPO | ||||
| City | SAN LUIS OBISPO |
| Zip Code | 93401 |
Please comment or provide details below to improve the information on PACIFIC MEDICAL, INC..
| 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.