NPIMap

Organization Active NPI

Public Hospital District No 1 Skagit

Doing business as Skagit Regional Health - Arlington Pediatrics

  • Pediatrics Physician
  • Arlington, WA
National Provider Identifier
1043241540
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
HAC.FS.00000106 Issued in WA
Legal business name
PUBLIC HOSPITAL DISTRICT NO 1 SKAGIT
Doing business as
Skagit Regional Health - Arlington Pediatrics
Practice address
875 Wesley St
Ste 130
Arlington, WA 98223-1613
Phone
(360) 435-6525
Fax
(360) 435-2634
NPI assigned
Jul 5, 2006
Last updated
Apr 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Authorized official

Name
Tamara Cesena
Title
Chief Financial Officer
Phone
(360) 445-8512

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X HAC.FS.00000106 WA Primary
Pediatric Adolescent Medicine Physician 2080A0000X HAC.FS.0000106 WA

Addresses

Primary practice location

875 Wesley St
Ste 130
Arlington, WA 98223-1613

Mailing address

PO Box 103510
Pasadena, CA 91189-3570
Phone (360) 814-7575

Other practice location 1

903 Medical Center Dr
Arlington, WA 98223-1697
Phone (360) 435-6525

Other identifiers 1

IdentifierTypeStateIssuer
2058822MedicaidWA

Other names 2

  • Skagit Regional Health - Arlington Pediatrics Doing business as
  • Skagit Regional Health Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040309001059 WA Part B Supplier - Clinic/Group Practice 6800793522 Receives reassigned benefits from 550 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Mount Vernon, WA; Oak Harbor, WA; Anacortes, WA; Stanwood, WA; Arlington, WA; Camano Island, WA; Darrington, WA; Everett, WA…

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Public Hosp District 126 organizations share this tax ID, including this one

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

Locations

875 Wesley St
Ste 130
Arlington, WA 98223
Phone (360) 435-6525

Practitioners & affiliated clinicians

Practitioners 57

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 57

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1043241540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 103510",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911893570",
            "telephone_number": "360-814-7575",
            "fax_number": "360-445-8592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 WESLEY ST",
            "address_2": "STE 130",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982231613",
            "telephone_number": "360-435-6525",
            "fax_number": "360-435-2634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "903 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "WA",
            "postal_code": "982231697",
            "country_code": "US",
            "telephone_number": "360-435-6525",
            "fax_number": "360-435-2634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PUBLIC HOSPITAL DISTRICT NO 1 SKAGIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "CESENA",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "360-445-8512"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "HAC.FS.00000106",
            "primary": true
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "WA",
            "license": "HAC.FS.0000106",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2058822",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skagit Regional Health - Arlington Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Skagit Regional Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Arlington, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.