NPIMap

Organization Active NPI

Pacific Healthcare Group

  • Durable Medical Equipment & Medical Supplies
  • Auburn, WA
National Provider Identifier
1861840415
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PACIFIC HEALTHCARE GROUP
Practice address
4150 B PL NW
Auburn, WA 98001-2449
Phone
(253) 486-0500
NPI assigned
May 24, 2016
Organization subpart
Yes
Parent organization
PACIFIC HEALTHCARE GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 9, 2017

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

Authorized official

Name
Ms. Puanani Tagoai
Title
Partner
Phone
(253) 486-0500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

4150 B PL NW
Auburn, WA 98001-2449

Mailing address

4150 B PL NW
Auburn, WA 98001-2449
Phone (253) 486-0500

Other names 1

  • Rainier Surgical Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pacific Healthcare Group3 organizations share this tax ID, including this one
Part of
Pacific Healthcare Group

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4150 B Pl NW
Auburn, WA 98001
Phone (253) 486-0500

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494288000000",
    "number": "1861840415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 B PL NW",
            "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",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980012449",
            "telephone_number": "253-486-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC HEALTHCARE GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PACIFIC HEALTHCARE GROUP",
        "enumeration_date": "2016-05-24",
        "last_updated": "2017-05-09",
        "status": "A",
        "authorized_official_last_name": "TAGOAI",
        "authorized_official_first_name": "PUANANI",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "253-486-0500",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rainier Surgical",
            "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 May 9, 2017; 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.