Yolanda Aben Bantolino, MD, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA10001546 Issued in WA

Practice address

325 9TH Ave
Mailbox 359777
Seattle, WA 98104-2420

Phone

(206) 744-3590

Fax

(206) 744-8781

NPI assigned

Nov 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

State licenses

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305072000000",
    "number": "1245302637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 S MEAD ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981082981",
            "telephone_number": "206-744-2446",
            "fax_number": "206-744-8781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 9TH AVE",
            "address_2": "MAILBOX 359777",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042420",
            "telephone_number": "206-744-3590",
            "fax_number": "206-744-8781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANTOLINO",
        "first_name": "YOLANDA",
        "middle_name": "ABEN",
        "credential": "MD, PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2011-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA10001546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gaurav Kumar Bansal, D.O.
• Hitashi Bansal
• Manju Bala Bansal
• Nisha Bansal, M.D.
• Shivam Bansal
• Martha Patricia Banuelos Corrales
• Mike Haiyu Bao, MD
• Summer Baptist, N.D.
• Daniela Vanessa Baquedano-Lagos, CG70084679
• Susan Michelle Baquero-Young, M.D.

• All providers in Seattle, WA
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; 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.