Organization Active NPI

Pacific Primary Care PC

  • Primary Care Clinic/Center
  • Sequim, WA
National Provider Identifier
1952436339
Registry record updated Aug 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
602172797 Issued in WA
Legal business name
PACIFIC PRIMARY CARE PC
Practice address
530 W Fir St
Suite C
Sequim, WA 98382-3284
Phone
(360) 582-1176
Fax
(888) 316-0903
NPI assigned
Feb 23, 2007
Last updated
Aug 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2014

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

Authorized official

Name
Asma A Weber, MD
Title
Owner
Phone
(360) 582-1176

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 602172797 WA Primary

Addresses

Primary practice location

530 W Fir St
Suite C
Sequim, WA 98382-3284

Mailing address

530 W Fir St
Suite C
Sequim, WA 98382-3284
Phone (360) 582-1176

Other identifiers 3

IdentifierTypeStateIssuer
7121056MedicaidWA
0159038OtherWALABOR AND INDUSTRIES
DA5471OtherWARAIL ROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

530 W Fir St
Ste C
Sequim, WA 98382
Phone (360) 582-1176

800 N 5th Ave
Ste 101
Sequim, WA 98382
Phone (360) 582-2690

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409184000000",
    "number": "1952436339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 W FIR ST",
            "address_2": "SUITE C",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823284",
            "telephone_number": "360-582-1176",
            "fax_number": "888-316-0903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 W FIR ST",
            "address_2": "SUITE C",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823284",
            "telephone_number": "360-582-1176",
            "fax_number": "888-316-0903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC PRIMARY CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2014-08-28",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "ASMA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-582-1176",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WA",
            "license": "602172797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7121056",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "0159038",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "DA5471",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sequim, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; 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.