Organization Active NPI

Pacific General Medical & Emergecy Clinic Inc

  • Family Medicine Physician
  • Tacoma, WA
National Provider Identifier
1083636575
Registry record updated Feb 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PACIFIC GENERAL MEDICAL & EMERGECY CLINIC INC
Practice address
7440 Pacific Ave
Tacoma, WA 98408-7117
Phone
(253) 475-0511
Fax
(253) 475-7440
NPI assigned
Jul 24, 2006
Last updated
Feb 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2013

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

Authorized official

Name
Dr. Andrew Mankuen Tsoi, MD
Title
Owner
Phone
(253) 475-0511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

7440 Pacific Ave
Tacoma, WA 98408-7117

Mailing address

7440 Pacific Ave
Pacific General Medical Clinic
Tacoma, WA 98408-7117
Phone (253) 475-0511

Other identifiers 1

IdentifierTypeStateIssuer
7063605MedicaidWA

National Provider Directory

National Provider Directory

Locations

7440 Pacific Ave
Tacoma, WA 98408
Phone (253) 475-0511

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360713600000",
    "number": "1083636575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7440 PACIFIC AVE",
            "address_2": "PACIFIC GENERAL MEDICAL CLINIC",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984087117",
            "telephone_number": "253-475-0511",
            "fax_number": "253-475-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7440 PACIFIC AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984087117",
            "telephone_number": "253-475-0511",
            "fax_number": "253-475-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC GENERAL MEDICAL & EMERGECY CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2013-02-13",
        "status": "A",
        "authorized_official_last_name": "TSOI",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "MANKUEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-475-0511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7063605",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.