NPIMap

Organization Active NPI

One Medical Group, Inc.

  • Family Medicine Physician
  • Seattle, WA
National Provider Identifier
1023899978
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ONE MEDICAL GROUP, INC.
Practice address
1600 7TH Ave Ste 110
Seattle, WA 98101-2288
Phone
(888) 663-6331
Fax
(206) 267-4391
NPI assigned
Oct 6, 2023
Last updated
Oct 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Authorized official

Name
Andrew S Diamond, MDNPI 1154347235
Title
Chief Medical Officer
Phone
(415) 593-1455

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X

Addresses

Primary practice location

1600 7TH Ave Ste 110
Seattle, WA 98101-2288

Mailing address

1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723
Phone (415) 658-6791

Other practice location 1

211 Pike St Fl 8
Seattle, WA 98101-2107
Phone (888) 663-6331

Other practice location 2

12675 120th Ave NE Ste 193
Kirkland, WA 98034-5097
Phone (888) 663-6331

Other practice location 3

5201 Ballard Ave NW Fl 2
Seattle, WA 98107-4806
Phone (888) 663-6331

Other practice location 4

1620 Broadway Ste 100A
Seattle, WA 98122-2560
Phone (888) 663-6331

Other practice location 5

701 N 34th St Ste 200
Seattle, WA 98103-3460
Phone (888) 663-6331

Other practice location 6

10400 NE 4th St Ste 2250
Bellevue, WA 98004-5186
Phone (888) 663-6331

Other practice location 7

970 Denny Way
Seattle, WA 98109-5201
Phone (888) 663-6331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231222000922 WA Part B Supplier - Clinic/Group Practice 2567623739 Receives reassigned benefits from 46 practitioners
Practice locations: Seattle, WA; Kirkland, WA; Bellevue, WA

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2332834One Medical701 North 34TH St Ste 200 - Seniors/Enterprise, Seattle, WA 98103Certificate of waiverApr 4, 2028
50D2332835One Medical10400 NE 4TH St Ste 2250-Seniors/Enterprise, Bellevue, WA 98004Certificate of waiverApr 4, 2028
50D2332836One Medical970 Denny Way - Seniors/Enterprise, Seattle, WA 98109Certificate of waiverApr 4, 2028
50D2332837One Medical5201 Ballard Ave NW Floor 2 - Seniors/Enterprise, Seattle, WA 98107Certificate of waiverApr 4, 2028
50D2332838One Medical1620 Broadway Ste 100a-DPC, Seattle, WA 98122Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

12675 120th Ave NE
Kirkland, WA 98034

5201 Ballard Ave NW
Fl 2
Seattle, WA 98107
Phone (206) 267-4390

Ownership & related parties

Subparts reporting this organization as parent 5

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 52

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 52

NPI Registry JSON

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

{
    "created_epoch": "1696550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1023899978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR STE 1900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113723",
            "telephone_number": "415-658-6791",
            "fax_number": "415-520-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 7TH AVE STE 110",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981012288",
            "telephone_number": "888-663-6331",
            "fax_number": "206-267-4391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 Pike St Fl 8",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981012107",
            "country_code": "US",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12675 120th Ave NE Ste 193",
            "address_purpose": "LOCATION",
            "city": "Kirkland",
            "state": "WA",
            "postal_code": "980345097",
            "country_code": "US",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5201 Ballard Ave NW Fl 2",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981074806",
            "country_code": "US",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1620 Broadway Ste 100A",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981222560",
            "country_code": "US",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 N 34th St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981033460",
            "country_code": "US",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10400 NE 4th St Ste 2250",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980045186",
            "country_code": "US",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "970 Denny Way",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981095201",
            "country_code": "US",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ONE MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-06",
        "last_updated": "2023-10-06",
        "certification_date": "2022-08-19",
        "status": "A",
        "authorized_official_last_name": "DIAMOND",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "415-593-1455",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Oct 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.