PACIFIC MEDICAL PROSTHETICS & ORTHOTICS
NPI 1265664023
Prosthetic/Orthotic Supplier in Roseville, CA

Active since August 12, 2009
1301 SECRET RAVINE PKWY, SUITE 100, ROSEVILLE, CA 95661(916) 788-0530(916) 788-0553 Get Directions Write a Review

NPPES record last updated: February 4, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Pacific Medical Prosthetics & Orthotics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PACIFIC MEDICAL PROSTHETICS & ORTHOTICS (NPI 1265664023) is a healthcare organization registered as a prosthetic/orthotic supplier in Roseville, California and active in the NPI registry since August 2009. The organization lists Mark Weaver, General Counsel, as its authorized official.

NPPES Registry Identity

NPI1265664023
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NamePACIFIC MEDICAL, INC.
Location Address1301 SECRET RAVINE PKWY, SUITE 100Roseville, CA 95661-3096
Mailing AddressFile 1616, 1801 W Olympic BlvdPasadena, CA 91199-1616 · (800) 726-9180 · Fax (800) 861-5950
Fax(916) 788-0553
Organization SubpartNo
Authorized OfficialMark WeaverGeneral Counsel · (800) 726-9180
Enumeration DateAugust 12, 2009
Last NPPES UpdateFebruary 4, 2015
NPI 1265664023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
1301 SECRET RAVINE PKWY, Roseville, CA 95661

Other Names 1

Doing Business AsPacific Medical Prosthetics & Orthotics

Other Identifiers 2

Other0695470001Medicare Provider Number
Medicare NSC0695470006

Accepted Insurance

Medical Equipment Supplier Medicare DMEPOS 10

Medicare supplier enrollment and the product categories Pacific Medical Prosthetics & Ortho carries, from the Medicare DMEPOS supplier directory.

Pacific Medical Prosthetics & Ortho

DMEPOS supplier · Roseville, CAOperated by Pacific Medical Inc

Accepts Medicare assignment

Pacific Medical Prosthetics & Ortho agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20647727
Medicare Participant SinceJanuary 1, 1998
Supplier Location1301 Secret Ravine Pkwy Ste 100Roseville, CA 95661
Supplier Specialties
Medical Supply Company Other MSC With Orthotic-Prosthetic

Medicare Product Categories

Neuromuscular Elect Stimulators (NMES)/Supplies
Electrodes, lead wires, adhesive tape
Canes and/or Crutches
Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
Walkers
Standard Walkers, Wheeled Walkers, Folding Walker
Orthoses: Custom Fabricated
Custom met pads, Custom heel pads, Custom heel spur pads
Orthoses: Prefabricated (Non-Custom Fabricated)
Met pads, Heel pads, Heel spur pads
Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Neurological Surgery
1301 SECRET RAVINE PKWY, SUITE 200
ROSEVILLE, CA 95661
Specialist
1301 SECRET RAVINE PKWY, STE 200
ROSEVILLE, CA 95661
Emergency Medicine (Emergency Medical Services)
1301 SECRET RAVINE PKWY, STE 200
ROSEVILLE, CA 95661
Clinic/Center (Health Service)
1301 SECRET RAVINE PKWY, SUITE 140
ROSEVILLE, CA 95661
Neurological Surgery
1301 SECRET RAVINE PKWY, STE 200
ROSEVILLE, CA 95661
Internal Medicine
1301 SECRET RAVINE PKWY, SUITE 240
ROSEVILLE, CA 95661
Internal Medicine
1301 SECRET RAVINE PKWY, SUITE 240
ROSEVILLE, CA 95661
Neurological Surgery
1301 SECRET RAVINE PKWY, SUITE 200
ROSEVILLE, CA 95661

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pacific Medical, Inc.'s NPI number?

The NPI number for Pacific Medical, Inc. is 1265664023. It was assigned to this organization in the NPPES registry on August 12, 2009.

Where is Pacific Medical, Inc. located?

Pacific Medical, Inc. is located at 1301 Secret Ravine Pkwy Suite 100, Roseville, CA 95661. The listed phone number is (916) 788-0530.

What is Pacific Medical, Inc.'s specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Does Pacific Medical, Inc. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Pacific Medical Prosthetics & Ortho accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Pacific Medical, Inc. accept?

Health plans from Moda Health Plan, Inc. list Pacific Medical, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pacific Medical, Inc. was last updated on February 4, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.