Organization Active NPI

La Cambra Co

  • Sleep Medicine (Family Medicine) Physician
  • Olympia, WA
National Provider Identifier
1013264688
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Family Medicine) PhysicianTaxonomy code 207QS1201X
License
84152600 Issued in WA
Legal business name
LA CAMBRA CO
Practice address
7205 Martin Way E
Ste a-69
Olympia, WA 98516-5555
Phone
(360) 949-2000
NPI assigned
Aug 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Authorized official

Name
Michael Eagle
Title
Ceo
Phone
(360) 949-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QS1201X 84152600 WA Primary

Addresses

Primary practice location

7205 Martin Way E
Ste a-69
Olympia, WA 98516-5555

Mailing address

7205 Martin Way E
Ste a-69
Olympia, WA 98516-5555
Phone (360) 949-2000

National Provider Directory

National Provider Directory

Locations

7205 Martin Way E
Ste A69
Olympia, WA 98516
Phone (206) 403-7410

NPI Registry JSON

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1013264688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7205 MARTIN WAY E",
            "address_2": "STE A-69",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985165555",
            "telephone_number": "360-949-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7205 MARTIN WAY E",
            "address_2": "STE A-69",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985165555",
            "telephone_number": "360-949-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA CAMBRA CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-13",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "EAGLE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "360-949-2000"
    },
    "taxonomies": [
        {
            "code": "207QS1201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "WA",
            "license": "84152600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.