Active NPI
Rapha Clinic Inc
- Podiatrist
- Shoreline, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- RAPHA CLINIC INC
- Practice address
- 1130 N 185TH St Ste 200
Shoreline, WA 98133-4011 - Phone
- (206) 542-1000
- Fax
- (206) 542-5353
- NPI assigned
- Jul 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John Y Joo, DPM
- Title
- President
- Phone
- (206) 542-5323
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary |
Addresses
Primary practice location
1130 N 185TH St Ste 200
Shoreline, WA 98133-4011
Mailing address
1130 N 185TH St Ste 200
Shoreline, WA 98133-4011
Phone (206) 542-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
201 Alpha Way
Cle Elum, WA 98922
Phone (509) 674-5331
1130 N 185th St
Ste 200
Shoreline, WA 98133
Phone (206) 542-1000
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Shoreline, WA
- NPI 1720083652
-
- Foot & Ankle Surgery Podiatrist
- Kent, WA
- NPI 1932178993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184630400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720483200000",
"number": "1295934438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 N 185TH ST STE 200",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981334011",
"telephone_number": "206-542-1000",
"fax_number": "206-542-5353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 N 185TH ST STE 200",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981334011",
"telephone_number": "206-542-1000",
"fax_number": "206-542-5353"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAPHA CLINIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-17",
"last_updated": "2024-07-09",
"certification_date": "2024-07-09",
"status": "A",
"authorized_official_last_name": "JOO",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "Y",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "206-542-5323",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shoreline, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.