NPIMap

Organization Active NPI

Pacmed Clinics

Doing business as Pacific Medical Centers

  • Multi-Specialty Clinic/Center
  • Seattle, WA
National Provider Identifier
1013061217
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
PACMED CLINICS
Doing business as
Pacific Medical Centers
Practice address
1200 12TH Ave S
Seattle, WA 98124
Phone
(206) 621-4316
NPI assigned
Jan 23, 2007
Reactivated
Feb 29, 2008
Last updated
May 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Donald Wayne Anderson Jr.
Title
Assistant Secreatry for Enrollment
Phone
(425) 358-9786

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU
Multi-Specialty Clinic/Center 261QM1300X NU Primary
Internal Medicine Physician 207R00000X NU

Addresses

Primary practice location

1200 12TH Ave S
Seattle, WA 98124

Mailing address

PO Box 24386
Pacmed Clinics
Seattle, WA 98124-0386
Phone (206) 621-4316

Other names 1

  • Pacific Medical Centers Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031226000033 WA Part B Supplier - Clinic/Group Practice 2466350657 Receives reassigned benefits from 294 practitioners
11 other NPIs on this enrollment
Practice locations: Lynnwood, WA; Seattle, WA; Renton, WA; Puyallup, WA; Kirkland, WA; Issaquah, WA; Federal Way, WA; Bothell, WA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1909 214th St SE
Ste 300
Bothell, WA 98021
Phone (425) 412-6335

1101 Madison St
Fl 4
Seattle, WA 98104

Practitioners & affiliated clinicians

Practitioners 298

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 298

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746662400000",
    "number": "1013061217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24386",
            "address_2": "PACMED CLINICS",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981240386",
            "telephone_number": "206-621-4316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 12TH AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98124",
            "telephone_number": "206-621-4316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACMED CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "deactivation_date": "2007-07-17",
        "reactivation_date": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "ASSISTANT SECREATRY FOR ENROLLMENT",
        "authorized_official_telephone_number": "425-358-9786",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Medical Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.