Individual provider Active NPI

Monina Daguio

  • Family Medicine Physician
  • Seattle, WA
National Provider Identifier
1104023894
Registry record updated Mar 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0116017100 Issued in VA
Practice address
9635 17TH Ave SW
Seattle, WA 98106-2712
Phone
(206) 763-5057
Fax
(206) 763-5241
NPI assigned
Jun 27, 2007
Last updated
Mar 8, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0116017100 VA Primary

Addresses

Primary practice location

9635 17TH Ave SW
Seattle, WA 98106-2712

Mailing address

9635 17TH Ave SW
Seattle, WA 98106-2712
Phone (206) 763-5057

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090828000179 WA Practitioner - Family Practice 6204981103 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
600 Stewart Medical Group, P.C.Group PAC ID 6608260534, 8 clinicians

Practice addresses (Care Compare)

201 Valley Mall Pkwy
Suite 3
East Wenatchee, WA 98802-5300
Phone (206) 848-7500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0116017100VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System Family Medicine CurrentSince May 11, 2019 Accepting new patients
Multicare Health System CurrentSince May 11, 2019 Accepting new patients
600 Stewart Medical Group, P.C. CurrentSince Jan 27, 2022 Accepting new patients
Multicare Health System Current Accepting new patients
Highline Medical Group Inc Family Medicine Past Accepting new patients

Locations

201 Valley Mall Pkwy
Ste 3
East Wenatchee, WA 98802
Phone (206) 690-5962

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

710 N 10th St
#304
Renton, WA 98057

600 Stewart St
Ste 800
Seattle, WA 98101
Phone (206) 690-5962

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

4215 49th Ave NE
Tacoma, WA 98422
Phone (253) 459-7699

521 S K St
Tacoma, WA 98405
Phone (253) 403-2900

2706 W Nob Hill Blvd
Ste 100
Yakima, WA 98902
Phone (206) 848-7500

Interoperability endpoints

  • Direct secure messaging: mdaguio2029656@wm.providencedirect.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331164800000",
    "number": "1104023894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9635 17TH AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981062712",
            "telephone_number": "206-763-5057",
            "fax_number": "206-763-5241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9635 17TH AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981062712",
            "telephone_number": "206-763-5057",
            "fax_number": "206-763-5241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAGUIO",
        "first_name": "MONINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2012-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0116017100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.