Individual provider Active NPI

Idolka Cruz Bao, INTERPRETER

  • Interpreter
  • Kenmore, WA
National Provider Identifier
1043820939
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
InterpreterTaxonomy code 171R00000X
License
MC7419 Issued in WA
Practice address
7507 NE 202ND PL
Kenmore, WA 98028-2073
Phone
(425) 263-0754
NPI assigned
Aug 5, 2020
Last updated
Aug 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interpreter 171R00000X MC7419 WA Primary

Addresses

Primary practice location

7507 NE 202ND PL
Kenmore, WA 98028-2073

Mailing address

7507 NE 202ND PL
Kenmore, WA 98028-2073
Phone (425) 263-0754

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

State licenses

LicenseStateTypeSpecialty
MC7419WAMDInterpreter

NPI Registry JSON

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1043820939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7507 NE 202ND PL",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980282073",
            "telephone_number": "425-263-0754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7507 NE 202ND PL",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980282073",
            "telephone_number": "425-263-0754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ BAO",
        "first_name": "IDOLKA",
        "credential": "INTERPRETER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-05",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171R00000X",
            "taxonomy_group": "",
            "desc": "Interpreter",
            "state": "WA",
            "license": "MC7419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenmore, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; 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.