Organization Active NPI

C & C Medical Associates, PLLC

  • Pediatrics Physician
  • Federal Way, WA
National Provider Identifier
1104256445
Registry record updated Nov 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD60275309 Issued in WA
Legal business name
C & C MEDICAL ASSOCIATES, PLLC
Practice address
710 S 348TH St Ste B
Federal Way, WA 98003-7042
Phone
(253) 878-5193
Fax
(253) 242-7169
NPI assigned
Nov 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2025

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

Authorized official

Name
Dr. Christopher Cheng, M.D.NPI 1447561444
Title
Medical Director
Phone
(425) 298-6679

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
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X MD60275309 WA Primary

Addresses

Primary practice location

710 S 348TH St Ste B
Federal Way, WA 98003-7042

Mailing address

710 S 348TH St Ste B
Federal Way, WA 98003-7042
Phone (425) 298-6679

Other practice location 1

1940 116th Ave NE Ste 200
Bellevue, WA 98004-3074
Phone (425) 209-4331

Other names 2

  • CCM Medicine Doing business as
  • CCM Pediatrics Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140327000427 WA Part B Supplier - Clinic/Group Practice 4082845516 Receives reassigned benefits from 4 practitioners
Practice locations: Bellevue, WA; Federal Way, WA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2175706West Campus Pediatrics, C and C Medical Associates710 S 348TH St Ste B, Federal Way, WA 98003Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

1940 116th Ave NE
Ste 200A
Bellevue, WA 98004
Phone (415) 209-4331

118 SW 330th St
Ste 300
Federal Way, WA 98023
Phone (253) 235-9291

710 S 348th St
Federal Way, WA 98003
Phone (206) 486-2926

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8547/brand/1/csg/1/fhir/r4

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": "1385164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764201600000",
    "number": "1104256445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 S 348TH ST STE B",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980037042",
            "telephone_number": "425-298-6679",
            "fax_number": "253-242-7169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 S 348TH ST STE B",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980037042",
            "telephone_number": "253-878-5193",
            "fax_number": "253-242-7169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1940 116th Ave NE Ste 200",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980043074",
            "country_code": "US",
            "telephone_number": "425-209-4331",
            "fax_number": "206-899-1299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "C & C MEDICAL ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-23",
        "last_updated": "2025-11-27",
        "certification_date": "2025-11-27",
        "status": "A",
        "authorized_official_last_name": "CHENG",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "425-298-6679",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD60275309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCM Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CCM Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CCM Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.