Organization Active NPI

Pacific-Fire Medical Services PLLC

  • Internal Medicine Physician
  • Shoreline, WA
National Provider Identifier
1043560261
Registry record updated Nov 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD60281918 Issued in WA
Legal business name
PACIFIC-FIRE MEDICAL SERVICES PLLC
Doing business as
Azar Sadeghalvad, M.D.
Practice address
1207 N 200TH St
Suite 217
Shoreline, WA 98133-3213
Phone
(206) 542-1517
Fax
(206) 542-2317
NPI assigned
Sep 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2012

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

Authorized official

Name
Dr. Azar Sadeghalvad, M.D.
Title
President
Phone
(206) 542-1517

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MD60281918 WA Primary

Addresses

Primary practice location

1207 N 200TH St
Suite 217
Shoreline, WA 98133-3213

Mailing address

1207 N 200TH St
Suite 217
Shoreline, WA 98133-3213
Phone (206) 542-1517

Other names 1

  • Azar Sadeghalvad, M.D. Doing business as

National Provider Directory

National Provider Directory

Locations

875 140th Ave NE
Ste 205
Bellevue, WA 98005
Phone (253) 951-8478

1207 N 200th St
Ste 217
Shoreline, WA 98133
Phone (206) 485-3112

NPI Registry JSON

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353628800000",
    "number": "1043560261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 N 200TH ST",
            "address_2": "SUITE 217",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981333213",
            "telephone_number": "206-542-1517",
            "fax_number": "206-542-2317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 N 200TH ST",
            "address_2": "SUITE 217",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981333213",
            "telephone_number": "206-542-1517",
            "fax_number": "206-542-2317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC-FIRE MEDICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-14",
        "last_updated": "2012-11-23",
        "status": "A",
        "authorized_official_last_name": "SADEGHALVAD",
        "authorized_official_first_name": "AZAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-542-1517",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD60281918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Azar Sadeghalvad, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shoreline, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.