Pacific Medical Prosthetics & Orthotics

LBN: Pacific Medical, Inc.
Pacific Medical Prosthetics & Orthotics is an health care organization with primary practice located at 1700 N. Chrisman Road , Tracy CA 95304-9314. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Prosthetic/Orthotic Supplier is the primary health care specialty. Pacific Medical, Inc. can be contacted via phone (800) 726-9180, or through Weaver, Mark Louis via phone (800) 726-9180.

Contact Information

Primary practice address
1700 N. Chrisman Road Tracy CA 95304-9314
Phone: (800) 726-9180
Fax: (800) 861-5950
Website:
Map and Directions
Authorized official contact:
Name: Weaver, Mark Louis J.D.
Phone: (800) 726-9180

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1326048893
LBN Legal business name Pacific Medical, Inc.
DBA Doing business as Pacific Medical Prosthetics & Orthotics
Authorized official Weaver, Mark Louis J.D.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2005
Last updated Aug 9th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326048893 NPPES
California MEDICAID DME01767G

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