Active NPI
Pacific Healthcare Group
- Durable Medical Equipment & Medical Supplies
- Auburn, WA
National Provider Identifier
1104206556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- PACIFIC HEALTHCARE GROUP
- Practice address
- 4150 B PL NW
Ste 101
Auburn, WA 98001-2449 - Phone
- (253) 486-0500
- NPI assigned
- Jun 1, 2015
- 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
- James A Ort
- Title
- Owner
- Phone
- (253) 486-0506
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | WA | Primary |
Addresses
Primary practice location
4150 B PL NW
Ste 101
Auburn, WA 98001-2449
Mailing address
4150 B PL NW
Ste 101
Auburn, WA 98001-2449
Phone (253) 486-0500
Other names 1
- Rainier Surgical Inc
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160516000815 | WA | DME Supplier - Medical Supply Company With Orthotic Personnel | 5496044430 | Practice locations: Auburn, WA |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Durable Medical Equipment & Medical Supplies
- Beaverton, OR
- NPI 1881063766
5496044430
National Provider Directory
National Provider Directory- Tax ID family
- Pacific Healthcare Group
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Auburn, WA
- NPI 1861840415
-
- Durable Medical Equipment & Medical Supplies
- Beaverton, OR
- NPI 1881063766
Locations
4150 B Pl NW
Ste 101
Auburn, WA 98001
Phone (253) 486-0500
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Durable Medical Equipment & Medical Supplies
- Auburn, WA
- NPI 1861840415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433116800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756166400000",
"number": "1104206556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4150 B PL NW",
"address_2": "STE 101",
"city": "AUBURN",
"state": "WA",
"postal_code": "980012449",
"telephone_number": "253-486-0500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4150 B PL NW",
"address_2": "STE 101",
"city": "AUBURN",
"state": "WA",
"postal_code": "980012449",
"telephone_number": "253-486-0500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PACIFIC HEALTHCARE GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-01",
"last_updated": "2025-08-26",
"certification_date": "2025-08-26",
"status": "A",
"authorized_official_last_name": "ORT",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "253-486-0506"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Rainier Surgical Inc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Auburn, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.