Organization Active NPI

AIDS Healthcare Foundation

  • Clinic/Center
  • Seattle, WA
National Provider Identifier
1265810980
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
AIDS HEALTHCARE FOUNDATION
Practice address
1016 E Pike St Ste 200
Seattle, WA 98122-3847
Phone
(206) 302-2020
Fax
(206) 302-2021
NPI assigned
May 14, 2015
Last updated
Jan 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Authorized official

Name
Lyle Honig Mojica
Title
Cfo
Phone
(323) 860-5305

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

1016 E Pike St Ste 200
Seattle, WA 98122-3847

Mailing address

6255 W Sunset Blvd FL 21
Los Angeles, CA 90028-7422
Phone (323) 860-5200

Other practice location 1

3009 S 40th St
Tacoma, WA 98409-5632
Phone (253) 238-1677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150825002943 WA Part B Supplier - Clinic/Group Practice 2668369109 Receives reassigned benefits from 4 practitioners
Practice locations: Seattle, WA; Tacoma, WA

National Provider Directory

National Provider Directory
Tax ID family
AIDS Healthcare Foundat93 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 2

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

1016 E Pike St
Fl 2
Seattle, WA 98122
Phone (206) 302-2020

1016 E Pike St
Ste 200
Seattle, WA 98122
Phone (206) 302-2020

3009 S 40th St
Tacoma, WA 98409
Phone (253) 238-1677

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1265810980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6255 W SUNSET BLVD FL 21",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900287422",
            "telephone_number": "323-860-5200",
            "fax_number": "833-241-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 E PIKE ST STE 200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981223847",
            "telephone_number": "206-302-2020",
            "fax_number": "206-302-2021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3009 S 40th St",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984095632",
            "country_code": "US",
            "telephone_number": "253-238-1677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AIDS HEALTHCARE FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-14",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "HONIG MOJICA",
        "authorized_official_first_name": "LYLE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "323-860-5305"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.