S.F. Medical Center

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Legal business name

S.F. MEDICAL CENTER

Practice address

144 169TH St S Ste a
Spanaway, WA 98387-8242

Phone

(253) 536-2824

Fax

(253) 536-3070

NPI assigned

Aug 8, 2006

Organization subpart

No

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

Authorized official

Name

Wayne W Kim, D.O.NPI 1619987054

Title

Medical Director/Owner

Phone

(253) 536-2824

Specialties & licenses 8

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wayne W Kim, D.O.

  • Federally Qualified Health Center (FQHC)
  • Stanton, CA
  • NPI 1619987054

  Family Medicine

  NPD (past) Authorized official

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1194735530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 169TH ST S STE A",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983878242",
            "telephone_number": "253-536-2824",
            "fax_number": "253-536-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 169TH ST S STE A",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983878242",
            "telephone_number": "253-536-2824",
            "fax_number": "253-536-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S.F. MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "253-536-2824",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glen Eugene Roderick, COTA/L
• Gerardo Rodriguez
• Yesica G. Ruelas Miranda
• Rebekha Ruet
• Luis Rodrigo Ruiz, LDO
• Artchiriyaprapa Tera Sakulsinghdusit, RPH
• Miguel Angel Salgado
• Deborah Santella, R.N.
• Jasmine Parreno Santiago
• Victoria Santos

• Medical Physician Assistant in Spanaway, WA
• Providers in Spanaway, WA by specialty
• Medical Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.