Individual provider Active NPI

Carla Ivonne Vazquez Santos, MD

  • Internal Medicine Physician
  • Federal Way, WA
National Provider Identifier
1346653177
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD60871651 Issued in WA
Practice address
1414 S 324TH St Ste B207
Federal Way, WA 98003-8444
Phone
(253) 220-3121
NPI assigned
Jun 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD60871651 WA Primary

Addresses

Primary practice location

1414 S 324TH St Ste B207
Federal Way, WA 98003-8444

Mailing address

8650 31St Ave SW
Seattle, WA 98126-3717
Phone (787) 587-6483

Other practice location 1

1200 12th Ave S Ste 901
Seattle, WA 98144-2712
Phone (206) 548-3114

Other practice location 2

9245 Rainier Ave S
Seattle, WA 98118-5569
Phone (206) 548-3114

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180918002320 WA Practitioner - Internal Medicine 1951673128 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD60871651WAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborcare Health Current Accepting new patients
Neighborcare Health Current Accepting new patients
Neighborcare Health CurrentSince Jul 17, 2023 Accepting new patients
Neighborcare Health CurrentSince Jul 17, 2023 Accepting new patients
Iora Health, LLC Internal Medicine Past Accepting new patients
Iora Health Massachusetts, P.C. Internal Medicine Past Accepting new patients

Locations

1200 12th Ave S
Ste 901
Seattle, WA 98144
Phone (206) 548-3058

1629 N 45th St
Seattle, WA 98103
Phone (206) 633-3350

4400 37th Ave S
Seattle, WA 98118
Phone (206) 296-4650

6020 35th Ave SW
Seattle, WA 98126
Phone (206) 461-6950

12721 30th Ave NE
Ste 101
Seattle, WA 98125
Phone (206) 417-0326

9245 Rainier Ave S
Seattle, WA 98118
Phone (206) 461-6981

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1346653177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8650 31ST AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981263717",
            "telephone_number": "787-587-6483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 S 324TH ST STE B207",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038444",
            "telephone_number": "253-220-3121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 12th Ave S Ste 901",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981442712",
            "country_code": "US",
            "telephone_number": "206-548-3114",
            "fax_number": "206-262-0859",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9245 Rainier Ave S",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981185569",
            "country_code": "US",
            "telephone_number": "206-548-3114",
            "fax_number": "206-262-0859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAZQUEZ SANTOS",
        "first_name": "CARLA",
        "middle_name": "IVONNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-10",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD60871651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

Verify at the official NPI Registry.