PACIFIC PEDORTHIC SERVICES NPI 1053528828

NPI Information

NPI: 1053528828
Provider Name: PACIFIC PEDORTHIC SERVICES
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Doing Business As: PRO COMFORT MEDICAL
Address: 106 S JONES BLVD
LAS VEGAS, NV
ZIP 89107
Phone: (702) 629-6818

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NPI Details

PACIFIC PEDORTHIC SERVICES is a durable medical equipment medical supplies in Las Vegas, NV. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. PACIFIC PEDORTHIC SERVICES NPI is 1053528828. The provider is registered as an organization entity type.
The provider Is Doing Business As Pro Comfort Medical.

The provider's business location address is:

106 S JONES BLVD
LAS VEGAS, NV
ZIP 89107-614
Phone: (702) 629-6818
Fax: (702) 993-8426

The provider's authorized official is Nathan Higham .
The authorized official title is President and has the following contact phone number (702) 629-6818.

The enumeration date for this NPI number is 5/17/2007 and was last updated on 3/2/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment	No
2	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies	No
3	332B00000X	Durable Medical Equipment & Medical Supplies		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	9058868	MEDICAID	WASHINGTON
2	808067500	MEDICAID	IDAHO
3	9061110	MEDICAID	WASHINGTON
4	9061094	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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