Active NPI
Pacmed Clinics
- Multi-Specialty Clinic/Center
- Federal Way, WA
National Provider Identifier
1013107630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- PACMED CLINICS
- Practice address
- 31833 Gateway Center Blvd S
Federal Way, WA 98003-5616 - Phone
- (253) 214-1920
- NPI assigned
- Jul 30, 2007
- Organization subpart
- No
NPPES NPI Registry
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
31833 Gateway Center Blvd S
Federal Way, WA 98003-5616
Mailing address
31833 Gateway Center Blvd S
Federal Way, WA 98003-5616
Phone (253) 214-1920
Other names 1
- Pacific Medical Centers
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031226000033 | WA | Part B Supplier - Clinic/Group Practice | 2466350657 |
Receives reassigned benefits from 294 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Lynnwood, WA; Seattle, WA; Renton, WA; Puyallup, WA; Kirkland, WA; Issaquah, WA; Federal Way, WA; Bothell, WA |
Other NPIs on the same Medicare enrollment 10
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D2198582 | Pacific Medical Centers | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryLocations
31833 Gateway Center Blvd S
Federal Way, WA 98003
Phone (253) 214-1920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185753600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1751932800000",
"number": "1013107630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31833 GATEWAY CENTER BLVD S",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980035616",
"telephone_number": "253-214-1920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31833 GATEWAY CENTER BLVD S",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980035616",
"telephone_number": "253-214-1920"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PACMED CLINICS",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-30",
"last_updated": "2025-07-08",
"certification_date": "2025-07-08",
"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": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pacific Medical Centers",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Federal Way, WA
- Pacific Dental & Denture Clinic,Inc
- Pacific Northwest Chiro PLLC
- Pacific Northwest Oral and Maxillofacial Surgery
- Pacific Palisades Podiatry PLLC
- Pacific Vascular Incorporated
- Erika Helene Paduano-Karch, MA, LMFT
- Maryann Paholio
- Victor Palacios Campos
- Liliana Estefania Palacios Marin, DNP, ARNP, FNP-BC
- Rene Andre Palanca
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.