GLENN A. PACIO
NPI 1255603874
Clinic/Center - Medical Specialty in University Place, WA

NPI Status: Active since January 27, 2012

Contact Information

5320 ORCHARD ST W
UNIVERSITY PLACE, WA
ZIP 98467
Phone: (253) 474-7100
Fax: (253) 474-2677

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  • Organization
  • Clinic/Center
  • Medical Specialty
  • Accepts Insurance
  • CLIA Number: 50D1069082
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-04-2028

About GLENN A. PACIO

This page provides the complete NPI Profile along with additional information for Glenn A. Pacio, a provider established in University Place, Washington operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1255603874 assigned on January 2012. The practitioner's primary taxonomy code is 261QM2500X with license number MD000380965 (WA). The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's other name is Glenn A. Pacio. The authorized official of this NPI record is Dr. Glenn A Pacio M.d. (Owner)

NPI
1255603874
Provider Legal Name
ORCHARD MEDICAL CLINIC
Other Organization Name
GLENN A. PACIO
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
5320 ORCHARD ST W UNIVERSITY PLACE, WA 98467
Location Phone
(253) 474-7100
Location Fax
(253) 474-2677
Mailing Address
7501 92ND AVENUE CT SW LAKEWOOD, WA 98498
Mailing Phone
(253) 588-0058
Mailing Fax
(253) 474-2677
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-27-2012
Last Update Date
02-16-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Medical Specialty

Taxonomy Code
261QM2500X
Type
Ambulatory Health Care Facilities
License No.
MD000380965
License State
WA
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO
  • Premera Blue Cross Family Dental - PPO
  • Premera Blue Cross Pediatric Dental - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. GLENN A PACIO M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(253) 474-7100

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
711938001OTHER (01)WAGROUP HEALTH
11155922MEDICAID (05)WA 
P00850060OTHER (01)GARAILROAD MEDICAARE

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
50D1069082
Facility Type
Physician Office
Certificate Effective Date
May 29, 2007
Certificate Expiration Date
April 04, 2028
Laboratory Director
GLENN A. PACIO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Glenn A. Pacio to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1255603874, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
5
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
0
Unchanged
Pos 7
3
Doubled → 6
Pos 8
8
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 6 → 12 → 3 3 → 6 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 0 + 5 + 1 + 2 + 0 + 6 + 8 + 1 + 4 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1255603874.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Internal Medicine
5320 ORCHARD ST W
UNIVERSITY PLACE, WA 98467

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255603874, enumerated as an "organization" on January 27, 2012.

The provider is located at 5320 ORCHARD ST W UNIVERSITY PLACE, WA 98467 and the phone number is (253) 474-7100.

Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska, Medicare. Please consult your insurance carrier or call the provider to verify.