FEDERAL WAY PRIMARY CARE, LLC (NPI# 1982898730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982898730 |
| Entity Type | Organization |
| Organization Name | FEDERAL WAY PRIMARY CARE, LLC |
| Other Organization Name | ESTRELINO VELASCO, M.D. |
| Practice Address |
34617 11th Place S Suite 202 Federal Way WA 98003-8706 |
| Mailing Address |
34617 11th Place S. Suite 202 Federal Way WA 98003-8706 |
| Practice Telephone | 2538384500 |
| Mailing Telephone | 2538384500 |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2007-10-17 |
| Authorized Official Name | DR. ESTRELINO D VELASCO (MEMBER) |
| Authorized Official Telephone | 25358384500 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MD00040660 | WA | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Estrelino Velasco, M.D. | Doing Business As Name - Organization |
| Street Address |
34617 11TH PLACE S SUITE 202 |
| City | FEDERAL WAY |
| State | WA |
| Zip Code | 98003-8706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386827954 | Kate Eliza Nielson | Audiologist | 34617 11th Place S, Suite 101, Federal Way, WA 98003-8706 | 2007-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634969 | Jossie Jeniffer Wong-vicuna | Interpreter | 3001 S 288th Street, 201, Ferderal Way, WA 98003 | 2020-09-17 |
| 1336642420 | Otto Family | Massage Therapist | 720 S 348th St Ste A-1b, Federal Way, WA 98003 | 2018-03-14 |
| 1962912709 | Lindsay Plumley | Occupational Therapist | 33330 8th Avenue S, Federal Way, WA 98003 | 2017-10-06 |
| 1861922387 | Sea Mar Community Health Centers | Pharmacy | 31405 18th Ave South, Federal Way, WA 98003 | 2017-06-18 |
| 1023547072 | Iora Health Washington Physicians, P.C. | Internal Medicine | 1414 S. 324th Street, Federal Way, WA 98003 | 2017-06-05 |
| 1811346869 | Iora Senior Health Inc | Internal Medicine | 1414 S 324th St, Federal Way, WA 98003 | 2016-06-10 |
| 1972958940 | Kathy Marie Haviland | Registered Nurse | 1010 S. 336th St, Supplemental Health Care, Federal Way, WA 98003 | 2016-04-27 |
| 1972969343 | Jacklyn Marie James | Specialist | 530 South 336th Street, Ste C, Massage for Health and Day Spa, Inc., Federal Way, WA 98003 | 2016-01-14 |
| 1659767036 | Jillian Liner | Pediatrics | 34503 9th Ave S Ste 220, Federal Way, WA 98003 | 2015-04-12 |
| 1235537739 | Simranjit Singh Longia | Student in an Organized Health Care Education/Training Program | 34618 11th Ave. S., Suite 100, Federal Way, WA 98003 | 2014-12-15 |
| Find all providers in zip 98003 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043749229 | Joe Class | Specialist | 34004 9th Ave S Ste A11, Federal Way, WA 98003-7329 | 2017-06-09 |
| 1972969343 | Jacklyn Marie James | Specialist | 530 South 336th Street, Ste C, Massage for Health and Day Spa, Inc., Federal Way, WA 98003 | 2016-01-14 |
| 1831595156 | You're Wellness LLC | Specialist | 204 S 348th St Ste 3, Federal Way, WA 98003-7041 | 2014-11-13 |
| 1629491741 | Hongmoo Kim | Specialist | 33919 9th Ave S Ste 101b, Federal Way, WA 98003-6736 | 2014-01-24 |
| 1649527417 | Norma Carmona | Specialist | 2016 S. 320th St, K, Federal Way, WA 98003 | 2012-08-10 |
| 1669709374 | Lane M Soden | Specialist | 29515 4th Ave S, Federal Way, WA 98003-3667 | 2009-11-17 |
| 1255562914 | Michael James Sabdy | Specialist | 1727 S 316th St, Federal Way, WA 98003-5499 | 2009-07-29 |
| 1255593331 | Tracy Joan Westbrook | Specialist | 3806 S 328th St, Federal Way, WA 98001-9626 | 2008-06-30 |
| 1093989675 | Massage for Health and Day Spa, Inc | Specialist | 530 S 336th St Ste C, Federal Way, WA 98003-6383 | 2008-04-15 |
| 1154593937 | Redondo Family Chiropractic Inc Ps | Specialist | 28815 Pacific Hwy S Ste 6, Federal Way, WA 98003-3876 | 2008-04-01 |
| Find all providers in FEDERAL WAY | ||||
| City | FEDERAL WAY |
| Zip Code | 98003 |
Please comment or provide details below to improve the information on FEDERAL WAY PRIMARY CARE, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.