Active NPI
Pacific Clinic & Urgent Care PLLC
- Internal Medicine Physician
- Burien, WA
National Provider Identifier
1962775486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- PACIFIC CLINIC & URGENT CARE PLLC
- Practice address
- 15500 1St Ave S
Suite 106a
Burien, WA 98148-1052 - Phone
- (206) 592-2623
- NPI assigned
- Feb 14, 2012
- 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
- Ms. Lizette A Dimawala
- Title
- Office Manager
- Phone
- (206) 592-2623
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
15500 1St Ave S
Suite 106a
Burien, WA 98148-1052
Mailing address
15500 1St Ave S
Suite 106a
Burien, WA 98148-1052
Phone (206) 592-2623
Other names 1
- Pacific Clinic & Urgent Care PLLC
National Provider Directory
National Provider DirectoryLocations
15500 1st Ave S
Ste 106A
Burien, WA 98148
Phone (206) 592-2623
15500 1st Ave S
#106A
Burien, WA 98148
Phone (206) 327-9400
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Tacoma, WA
- NPI 1568477370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1329177600000",
"number": "1962775486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15500 1ST AVE S",
"address_2": "SUITE 106A",
"city": "BURIEN",
"state": "WA",
"postal_code": "981481052",
"telephone_number": "206-592-2623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15500 1ST AVE S",
"address_2": "SUITE 106A",
"city": "BURIEN",
"state": "WA",
"postal_code": "981481052",
"telephone_number": "206-592-2623"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PACIFIC CLINIC & URGENT CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-14",
"last_updated": "2012-02-14",
"status": "A",
"authorized_official_last_name": "DIMAWALA",
"authorized_official_first_name": "LIZETTE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "206-592-2623",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pacific Clinic & Urgent Care PLLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Burien, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.