Individual provider Active NPI

Swati Devendra Vora, MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • Tacoma, WA
National Provider Identifier
1215920889
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
MD00041064 Issued in WA
Practice address
2201 S 19TH St
Suite 205
Tacoma, WA 98405-2962
Phone
(253) 274-5616
Fax
(253) 274-5634
NPI assigned
Aug 29, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X MD00041064 WA
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X MD00041064 WA Primary

Addresses

Primary practice location

2201 S 19TH St
Suite 205
Tacoma, WA 98405-2962

Mailing address

PO Box 65425
University Place, WA 98464-1425
Phone (253) 770-7960

Other identifiers 1

IdentifierTypeStateIssuer
1122449MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address svora867740@wm.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20160307002698 CA Practitioner - Neurology 9436163763 Reassigns benefits to 5 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara CurrentSince Feb 2, 2020 Accepting new patients
County of Santa Clara CurrentSince Feb 2, 2020 Accepting new patients
County of Santa Clara CurrentSince Feb 2, 2020 Accepting new patients
Valley Children's Medical Group CurrentSince Feb 28, 2016 Accepting new patients
County of Santa Clara Current Accepting new patients
Valley Children's Specialty Medical Group, Inc. CurrentSince Feb 28, 2016 Accepting new patients
County of Santa Clara CurrentSince Feb 2, 2020 Accepting new patients
County of Santa Clara Family Medicine Current Accepting new patients
Pediatric Neurology Associates PS Neurology With Special Qualifications in Child Neurology Past Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients

Locations

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

9300 Valley Childrens Pl
Madera, CA 93636
Phone (559) 353-5700

1524 McHenry Ave
Ste 550570
Modesto, CA 95350
Phone (209) 572-3880

2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050

1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

Interoperability endpoints

  • Direct secure messaging: svora107405@santaclaravalley.direct-ci.net

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1215920889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65425",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984641425",
            "telephone_number": "253-770-7960",
            "fax_number": "253-770-7982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 S 19TH ST",
            "address_2": "SUITE 205",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052962",
            "telephone_number": "253-274-5616",
            "fax_number": "253-274-5634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VORA",
        "first_name": "SWATI",
        "middle_name": "DEVENDRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-29",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "WA",
            "license": "MD00041064",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "WA",
            "license": "MD00041064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1122449",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "svora867740@wm.providencedirect.org",
            "affiliation": "N",
            "address_1": "101 W 8th Ave Ste 4200E",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992042307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.