Active NPI
Pacific Comprehensive Health PLLC
- Primary Care Clinic/Center
- Kennewick, WA
National Provider Identifier
1659096964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- PACIFIC COMPREHENSIVE HEALTH PLLC
- Practice address
- 7103 W Grandridge Blvd Ste D
Kennewick, WA 99336-6713 - Phone
- (509) 676-2160
- NPI assigned
- Oct 10, 2022
- 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
- Srinivas Mascal, MD
- Title
- Physician
- Phone
- (509) 676-2160
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
7103 W Grandridge Blvd Ste D
Kennewick, WA 99336-6713
Mailing address
7103 W Grandridge Blvd Ste D
Kennewick, WA 99336-6713
Phone (509) 676-2160
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
7103 W Grandridge Blvd
Ste D
Kennewick, WA 99336
Phone (509) 676-2160
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Kennewick, WA
- NPI 1033488077
-
- Pulmonary Disease Physician
- Kennewick, WA
- NPI 1285708347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739491200000",
"number": "1659096964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7103 W GRANDRIDGE BLVD STE D",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993366713",
"telephone_number": "509-676-2160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7103 W GRANDRIDGE BLVD STE D",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993366713",
"telephone_number": "509-676-2160"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PACIFIC COMPREHENSIVE HEALTH PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-10",
"last_updated": "2025-02-14",
"certification_date": "2025-02-14",
"status": "A",
"authorized_official_last_name": "MASCAL",
"authorized_official_first_name": "SRINIVAS",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "509-676-2160",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennewick, WA
- Christine Pabilona, M.D.
- Elizabeth C Pabst
- Heidi A. Pace
- Miriam Walker Pace, MD
- Pacific Cataract and Laser Institute, Inc., P.C.
- Pacific Noble Primary Care Professional Limited Liability Com (Pacific Noble Primary Care)
- Pacific Northwest University of Health Sciences
- Pacific Vascular Incorporated
- Sagein Pacifico, RN
- Pacwest Kennewick LLC (Parkview Estates)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.