Pacific Biomedical Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

W001695 Issued in AZ

Legal business name

PACIFIC BIOMEDICAL INC

Practice address

705 E Granada Rd
Phoenix, AZ 85006-2193

Phone

(480) 264-3242

Fax

(480) 718-8900

NPI assigned

Jul 14, 2010

Organization subpart

No

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

Authorized official

Name

Cassie Smith

Title

Chief Operating Officer

Phone

(480) 264-3242

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671408000000",
    "number": "1740592138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 E GRANADA RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062193",
            "telephone_number": "480-264-3242",
            "fax_number": "480-718-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 E GRANADA RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062193",
            "telephone_number": "480-264-3242",
            "fax_number": "480-718-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC BIOMEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-14",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CASSIE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "480-264-3242"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "AZ",
            "license": "W001695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Teresa Pacheco Hernandez, MD
• Altagracia Pacheco, MD
• Sonia Maria Pacheco
• Joyce-Nicole Pachence, PA-C
• Sarah Lillian Pachtman, M.D.
• Pacific Dental Services Foundation
• Pacific Durable Medical LLC
• Hope Elizabeth Pack, FNP
• Jennifer Lynn Pack, ACNP-BC
• Bruce Paul Packer, M.D.

• Customized Equipment (DME) in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Customized Equipment (DME) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.