AMANDA L. LUGO PAC
NPI 1780062034
Physician Assistant - Surgical in Enumclaw, WA
NPI Status: Active since May 07, 2015
Contact Information
2820 GRIFFIN AVE STE 210
ENUMCLAW, WA
ZIP 98022
Phone: (360) 825-7500
Fax: (360) 825-3370
- Individual
- Female
- Physician Assistant
- Surgical
- PECOS Enrolled
About AMANDA LUGO
This page provides the complete NPI Profile along with additional information for Amanda Lugo, a provider established in Enumclaw, Washington with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1780062034 assigned on May 2015. The practitioner's primary taxonomy code is 363AS0400X with license number PA70012203 (WA). The provider is registered as an individual and her NPI record was last updated January 2026.
- NPI
- 1780062034
- Provider Name
- AMANDA L. LUGO PAC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2820 GRIFFIN AVE STE 210 ENUMCLAW, WA 98022
- Location Phone
- (360) 825-7500
- Location Fax
- (360) 825-3370
- Mailing Address
- 2820 GRIFFIN AVE STE 210 ENUMCLAW, WA 98022
- Mailing Phone
- (360) 825-7500
- Mailing Fax
- (360) 825-3370
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-07-2015
- Last Update Date
- 01-05-2026
- Code Navigator
Location Map
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
Physician Assistant Surgical
- Taxonomy Code
- 363AS0400X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- PA70012203
- License State
- WA
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2255A2300X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Specialist/Technologist |
Medicare Participation & PECOS Enrollment Status
Amanda Lugo is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for AMANDA L. LUGO PAC
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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 1780062034, 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
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.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
ENUMCLAW, WA 98022
ENUMCLAW, WA 98022
ENUMCLAW, WA 98022
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780062034, enumerated as an "individual" on May 07, 2015.
The provider is located at 2820 GRIFFIN AVE STE 210 ENUMCLAW, WA 98022 and the phone number is (360) 825-7500.
Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.
