Organization Active NPI

Pacific Cardiovascular, P.S.

  • Cardiovascular Disease Physician
  • Tacoma, WA
National Provider Identifier
1194903542
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
OP00001797 Issued in WA
Legal business name
PACIFIC CARDIOVASCULAR, P.S.
Practice address
1901 S Union Ave BLDG B
Suite 3001
Tacoma, WA 98405-1702
Phone
(253) 572-4900
Fax
(253) 572-4645
NPI assigned
Feb 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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

Authorized official

Name
Dr. Raju Patel, D.O.
Title
President
Phone
(253) 572-4900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X OP00001797 WA Primary

Addresses

Primary practice location

1901 S Union Ave BLDG B
Suite 3001
Tacoma, WA 98405-1702

Mailing address

PO Box 64809
University Place, WA 98464-0809
Phone (253) 572-4900

National Provider Directory

National Provider Directory

Locations

1901 S Union Ave
Ste B3001
Tacoma, WA 98405
Phone (253) 272-7614

1901 S Union Ave
Ste B5003
Tacoma, WA 98405
Phone (253) 572-4900

NPI Registry JSON

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1194903542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64809",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984640809",
            "telephone_number": "253-572-4900",
            "fax_number": "253-572-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S UNION AVE BLDG B",
            "address_2": "SUITE 3001",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051702",
            "telephone_number": "253-572-4900",
            "fax_number": "253-572-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC CARDIOVASCULAR, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RAJU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-572-4900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WA",
            "license": "OP00001797",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 7, 2008; 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.