Individual provider Active NPI

Leandro Pasos, M.D.

  • General Practice Physician
  • Seattle, WA
National Provider Identifier
1003134941
Registry record updated May 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MD 00023573 Issued in WA
Practice address
12707 30TH Ave NE
Seattle, WA 98125-4403
Phone
(206) 384-1866
Fax
(206) 367-4284
NPI assigned
May 15, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X MD 00023573 WA Primary

Addresses

Primary practice location

12707 30TH Ave NE
Seattle, WA 98125-4403

Mailing address

1712 45TH Ave SW
Seattle, WA 98116-1911
Phone (206) 938-0884

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD 00023573WAMDGeneral Practice Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273881600000",
    "number": "1003134941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 45TH AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981161911",
            "telephone_number": "206-938-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12707 30TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981254403",
            "telephone_number": "206-384-1866",
            "fax_number": "206-367-4284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASOS",
        "first_name": "LEANDRO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-15",
        "last_updated": "2010-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WA",
            "license": "MD 00023573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.