Robert Leo Testa, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

OA60245584 Issued in WA

Practice address

11306 Bridgeport Way SW Ste D
Lakewood, WA 98499-3037

Phone

(253) 983-9390

Fax

(253) 983-0066

NPI assigned

Sep 2, 2006

Last updated

Jan 12, 2015By the provider in NPPES

Sex

Male

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

Physician Assistant

State licenses

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421020800000",
    "number": "1356443923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39324",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984963324",
            "telephone_number": "253-983-9390",
            "fax_number": "253-983-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11306 BRIDGEPORT WAY SW STE D",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993037",
            "telephone_number": "253-983-9390",
            "fax_number": "253-983-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESTA",
        "first_name": "ROBERT",
        "middle_name": "LEO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2015-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "OA60245584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physician Assistant in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; 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.