Azar Sadeghalvad, M.D.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MD60281918 Issued in WA

Practice address

1207 N 200TH St
Ste 101
Shoreline, WA 98133-3213

Phone

(206) 542-1517

Fax

(206) 542-2317

NPI assigned

Jul 13, 2010

Last updated

Jan 25, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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.

• Pacific-Fire Medical Services PLLC

  dba Azar Sadeghalvad, M.D.

  • Internal Medicine Physician
  • Shoreline, WA
  • NPI 1043560261
  Authorized official Same address or phone

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359072000000",
    "number": "1336451798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 N 200TH ST",
            "address_2": "STE 101",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981333213",
            "telephone_number": "206-542-1517",
            "fax_number": "206-542-2317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 N 200TH ST",
            "address_2": "STE 101",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981333213",
            "telephone_number": "206-542-1517",
            "fax_number": "206-542-2317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADEGHALVAD",
        "first_name": "AZAR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-13",
        "last_updated": "2013-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WA",
            "license": "MD60281918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Ryan, MACCC-SLP
• Bruce Harlan Ryan, D.C.
• Nicole R Ryerson, IBCLC
• Matthew Ryskalczyk, DMD, MD
• Chelsie Rose Castro Sablan
• Tara Leigh Sadr, PA-C
• Safeway Inc (Safeway Pharmacy #0497)
• Safeway Inc (Safeway Pharmacy #3213)
• Connie Louise Sais, M.A.
• Alizay Sajjad

• Primary Care Clinic/Center in Shoreline, WA
• Providers in Shoreline, WA by specialty
• Primary Care Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; 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.