NPIMap

Individual provider Active NPI

Luis Garduno

  • Internal Medicine Physician
  • Mount Vernon, WA
National Provider Identifier
1083364947
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD61670214 Issued in WA
Practice address
110 N Laventure Rd Ste C
Mount Vernon, WA 98273-3901
Phone
(360) 814-8240
NPI assigned
Mar 24, 2022
Last updated
Sep 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD61670214 WA Primary

Addresses

Primary practice location

110 N Laventure Rd Ste C
Mount Vernon, WA 98273-3901

Mailing address

110 N Laventure Rd Ste C
Mount Vernon, WA 98273-3901
Phone (360) 814-8240

Other practice location 1

901 Mountain View Dr
Shelton, WA 98584-4401
Phone (360) 427-9549

Other practice location 2

1415 E Kincaid St
Mount Vernon, WA 98274-4126
Phone (584) 631-6481

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lgarduno39050@skagit.direct-ci.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250722001680 WA Practitioner - Internal Medicine 6507249711 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Public Hospital Dist No 1 SkagitGroup PAC ID 6800793522, 321 clinicians

Practice addresses (Care Compare)

110 N Laventure Rd
Suite C
Mount Vernon, WA 98273-3901
Phone (360) 399-7700

1415 E Kincaid St
Mount Vernon, WA 98274-4126
Phone (360) 424-4111

901 Mountain View Dr
Shelton, WA 98584-4401
Phone (360) 426-1611

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
South Sound Inpatient Physicians PLLC Internal Medicine Current Accepting new patients
Public Hospital Dist No 1 Skagit Current Accepting new patients
Public Hospital Dist No 1 Skagit CurrentSince Sep 8, 2025 Accepting new patients
Public Hospital District No 1 of Mason County CurrentSince Jul 23, 2025 Accepting new patients
Public Hospital District No 1 of Mason County Wa CurrentSince Jul 23, 2025 Accepting new patients
South Sound Inpatient Physicians PLLC Internal Medicine CurrentSince Jun 23, 2025 Accepting new patients
Public Hospital District No 1 of Mason County Current Accepting new patients
Public Hospital Dist No 1 Skagit CurrentSince Sep 8, 2025 Accepting new patients
South Sound Inpatient Physicians, PLLC Internal Medicine CurrentSince Jun 23, 2025 Accepting new patients
Public Hospital Dist No 1 Skagit Past Accepting new patients

Locations

330 S Stillaguamish Ave
Arlington, WA 98223
Phone (360) 435-2133

110 N Laventure Rd
Ste C
Mount Vernon, WA 98273
Phone (360) 399-7700

1400 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 428-2586

1415 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 416-5750

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

901 Mountain View Dr
Shelton, WA 98584
Phone (360) 426-1611

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1083364947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N LAVENTURE RD STE C",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982733901",
            "telephone_number": "360-814-8240",
            "fax_number": "360-848-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N LAVENTURE RD STE C",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982733901",
            "telephone_number": "360-814-8240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Mountain View Dr",
            "address_purpose": "LOCATION",
            "city": "Shelton",
            "state": "WA",
            "postal_code": "985844401",
            "country_code": "US",
            "telephone_number": "360-427-9549",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1415 E Kincaid St",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "WA",
            "postal_code": "982744126",
            "country_code": "US",
            "telephone_number": "584-631-6481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDUNO",
        "first_name": "LUIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-24",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD61670214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lgarduno39050@skagit.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "110 N Laventure Rd Ste C",
            "city": "Mount Vernon",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982733901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Vernon, WA

Sources for this page

Verify at the official NPI Registry.