NPIMap

Organization Active NPI

Pacmed Clinics

Doing business as Diagnostic & Wellness Center for Women

  • Diagnostic Radiology Physician
  • Seattle, WA
National Provider Identifier
1205027372
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD00038905 Issued in WA
Legal business name
PACMED CLINICS
Doing business as
Diagnostic & wellness Center for Women
Practice address
1200 12TH Ave S
Seattle, WA 98144-2712
Phone
(206) 568-3800
NPI assigned
Aug 5, 2007
Last updated
Oct 8, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
PACMED CLINICSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Authorized official

Name
Dr. Vikramsinh Dabhi, MD
Title
Chief Medical Officer
Phone
(206) 621-4618

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085R0202X MD00038905 WA Primary

Addresses

Primary practice location

1200 12TH Ave S
Seattle, WA 98144-2712

Mailing address

1200 12TH Ave S
Seattle, WA 98144-2712
Phone (206) 568-3800

Other names 1

  • Diagnostic & wellness Center for Women 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
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.

National Provider Directory

National Provider Directory
Part of
Maxor National Pharmacy

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570492800000",
    "number": "1205027372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 12TH AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981442712",
            "telephone_number": "206-568-3800"
        },
        {
            "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": "981442712",
            "telephone_number": "206-568-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACMED CLINICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PACMED CLINICS",
        "enumeration_date": "2007-08-05",
        "last_updated": "2019-10-08",
        "status": "A",
        "authorized_official_last_name": "DABHI",
        "authorized_official_first_name": "VIKRAMSINH",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "206-621-4618",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD00038905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diagnostic & Wellness Center for Women",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Diagnostic & wellness Center for Women",
            "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 Oct 8, 2019; 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.