Organization Active NPI

Raksha V Trivedi MD PS

  • Obstetrics & Gynecology Physician
  • Seattle, WA
National Provider Identifier
1184688152
Registry record updated Mar 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD00016453 Issued in WA
Legal business name
RAKSHA V TRIVEDI MD PS
Practice address
1560 N 115TH St Ste 108
Seattle, WA 98133-8414
Phone
(206) 362-3113
Fax
(206) 364-2625
NPI assigned
Apr 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2014

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

Authorized official

Name
Raksha Vandan Trivedi, MD
Title
President
Phone
(206) 362-3313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X MD00016453 WA Primary

Addresses

Primary practice location

1560 N 115TH St Ste 108
Seattle, WA 98133-8414

Mailing address

1560 N 115TH St Ste 108
Seattle, WA 98133-8414
Phone (206) 362-3113

Other identifiers 1

IdentifierTypeStateIssuer
1841402MedicaidWA

Other names 1

  • Avani Womens Health & Asthetics Center Doing business as

National Provider Directory

National Provider Directory

Locations

1560 N 115th St
Ste 108
Seattle, WA 98133
Phone (206) 362-3113

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": "1144972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396224000000",
    "number": "1184688152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 N 115TH ST STE 108",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338414",
            "telephone_number": "206-362-3113",
            "fax_number": "206-364-2625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 N 115TH ST STE 108",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338414",
            "telephone_number": "206-362-3113",
            "fax_number": "206-364-2625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAKSHA V TRIVEDI MD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-14",
        "last_updated": "2014-03-31",
        "status": "A",
        "authorized_official_last_name": "TRIVEDI",
        "authorized_official_first_name": "RAKSHA",
        "authorized_official_middle_name": "VANDAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-362-3313",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "MD00016453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841402",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avani Womens Health & Asthetics Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.