Organization Active NPI

Orientallers LLC

  • Clinic/Center
  • Issaquah, WA
National Provider Identifier
1104383728
Registry record updated Apr 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ORIENTALLERS LLC
Practice address
5188 NW Sammamish Rd
Issaquah, WA 98027-9367
Phone
(425) 591-8657
NPI assigned
Mar 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2019

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

Authorized official

Name
Dr. Clement Sun, MD, PHD, MSNPI 1245626779
Title
Director
Phone
(425) 591-8657

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

5188 NW Sammamish Rd
Issaquah, WA 98027-9367

Mailing address

5188 NW Sammamish Rd
Issaquah, WA 98027-9367
Phone (425) 591-8657

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190507002305 WA Part B Supplier - Clinic/Group Practice 2668714940 Receives reassigned benefits from 1 practitioner
Practice locations: Bellevue, WA

National Provider Directory

National Provider Directory

Locations

1406 140th Pl NE
Ste 108
Bellevue, WA 98007
Phone (425) 591-8657

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19561/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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": "1551398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555286400000",
    "number": "1104383728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5188 NW SAMMAMISH RD",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980279367",
            "telephone_number": "425-591-8657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5188 NW SAMMAMISH RD",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980279367",
            "telephone_number": "425-591-8657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORIENTALLERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-01",
        "last_updated": "2019-04-15",
        "status": "A",
        "authorized_official_last_name": "SUN",
        "authorized_official_first_name": "CLEMENT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "425-591-8657",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD, MS"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; 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.