Active NPI
Sophia Shiau, M.D.
- Pediatrics Physician
- Marysville, WA
National Provider Identifier
1235325663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD60077189
- Practice address
- 4420 76TH St NE
Marysville, WA 98270-3726 - Phone
- (360) 651-7492
- Fax
- (360) 651-7482
- NPI assigned
- Sep 19, 2007
- Last updated
- May 14, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD60077189 | WA | Primary |
| Pediatrics Physician | 208000000X | A101382 | CA |
Addresses
Primary practice location
4420 76TH St NE
Marysville, WA 98270-3726
Mailing address
7600 Evergreen Way
Everett, WA 98203-6421
Phone (206) 860-5414
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD60077189 | Other | WA | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A101382 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Care Washington PLLC | Pediatrics | Current | Accepting new patients |
| Optum Care Washington PLLC | Pediatrics | Current | Accepting new patients |
Locations
1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903
4420 76th St NE
Marysville, WA 98270
Phone (360) 651-7490
1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299
Interoperability endpoints
- sshiau3720@direct.tecmc.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Durable Medical Equipment & Medical Supplies
- Marysville, WA
- NPI 1194428425
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778716800000",
"number": "1235325663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7600 EVERGREEN WAY",
"city": "EVERETT",
"state": "WA",
"postal_code": "982036421",
"telephone_number": "206-860-5414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4420 76TH ST NE",
"city": "MARYSVILLE",
"state": "WA",
"postal_code": "982703726",
"telephone_number": "360-651-7492",
"fax_number": "360-651-7482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIAU",
"first_name": "SOPHIA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-19",
"last_updated": "2026-05-14",
"certification_date": "2026-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WA",
"license": "MD60077189",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A101382",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "MD60077189",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marysville, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.