Active NPI
Keith Adrian Fujioka, B.S., R.V.T.
- Vascular Specialist/Technologist Cardiovascular
- Bothell, WA
National Provider Identifier
1013193762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Specialist/Technologist Cardiovascular
- Practice address
- 11714 N Creek Pkwy N
Suite 100
Bothell, WA 98011-8250 - Phone
- (425) 398-7777
- Fax
- (425) 486-8976
- NPI assigned
- Jan 11, 2008
- Last updated
- Sep 30, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Specialist/Technologist Cardiovascular | 246XC2903X | Primary |
Addresses
Primary practice location
11714 N Creek Pkwy N
Suite 100
Bothell, WA 98011-8250
Mailing address
11714 N Creek Pkwy N
Suite 100
Bothell, WA 98011-8250
Phone (425) 398-7777
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
- Bachelor of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254268800000",
"number": "1013193762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11714 N CREEK PKWY N",
"address_2": "SUITE 100",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980118250",
"telephone_number": "425-398-7777",
"fax_number": "425-486-8976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11714 N CREEK PKWY N",
"address_2": "SUITE 100",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980118250",
"telephone_number": "425-398-7777",
"fax_number": "425-486-8976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUJIOKA",
"first_name": "KEITH",
"middle_name": "ADRIAN",
"credential": "B.S., R.V.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-11",
"last_updated": "2009-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "246XC2903X",
"taxonomy_group": "",
"desc": "Specialist/Technologist Cardiovascular, Vascular Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bothell, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.