NPIMap

Organization Active NPI

Redmond Family Care LLC

  • Medical Specialty Clinic/Center
  • Redmond, WA
National Provider Identifier
1073830618
Registry record updated Nov 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
MD00045554 Issued in WA
Legal business name
REDMOND FAMILY CARE LLC
Practice address
8195 166TH Ave NE
Suite 203
Redmond, WA 98052-3960
Phone
(425) 310-6519
Fax
(425) 968-9839
NPI assigned
Apr 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2010

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

Authorized official

Name
Pen Hou, MDNPI 1114960937
Title
Principal
Phone
(425) 310-6519

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X MD00045554 WA Primary

Addresses

Primary practice location

8195 166TH Ave NE
Suite 203
Redmond, WA 98052-3960

Mailing address

8195 166TH Ave NE
Suite 203
Redmond, WA 98052-3960
Phone (425) 310-6519

Other names 1

  • Redmond Family Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100817000296 WA Part B Supplier - Clinic/Group Practice 3870627524 Receives reassigned benefits from 1 practitioner
Practice locations: Redmond, WA

National Provider Directory

National Provider Directory

Locations

8195 166th Ave NE
Ste 203
Redmond, WA 98052
Phone (425) 310-6519

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1271808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289433600000",
    "number": "1073830618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8195 166TH AVE NE",
            "address_2": "SUITE 203",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523960",
            "telephone_number": "425-310-6519",
            "fax_number": "425-968-9839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8195 166TH AVE NE",
            "address_2": "SUITE 203",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523960",
            "telephone_number": "425-310-6519",
            "fax_number": "425-968-9839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDMOND FAMILY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-21",
        "last_updated": "2010-11-11",
        "status": "A",
        "authorized_official_last_name": "HOU",
        "authorized_official_first_name": "PEN",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "425-310-6519",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "WA",
            "license": "MD00045554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redmond Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; 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.