NPIMap

Organization Active NPI

U.S. Healthworks Medical Group of Washington, PS

  • Urgent Care Clinic/Center
  • Puyallup, WA
National Provider Identifier
1366993099
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
U.S. HEALTHWORKS MEDICAL GROUP OF WASHINGTON, PS
Practice address
3850 S Meridian
Puyallup, WA 98373-3701
Phone
(253) 840-1840
Fax
(253) 841-9336
NPI assigned
Oct 18, 2016
Last updated
Oct 18, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
U.S. HEALTHWORKS MEDICAL GROUP OF WASHINGTON, PSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 18, 2016

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

Authorized official

Name
Mr. Joseph T Mallas
Title
Secretary
Phone
(661) 678-2600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU Primary
Occupational Medicine Physician 2083X0100X NU

Addresses

Primary practice location

3850 S Meridian
Puyallup, WA 98373-3701

Mailing address

25124 Springfield CT
Suite 200
Valencia, CA 91355-1085
Phone (661) 678-2600

National Provider Directory

National Provider Directory
Tax ID family
Wa Readicar Medical Gro20 organizations share this tax ID, including this one
Part of
Wa Readicar Medical Gro

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

Practitioners & affiliated clinicians

Practitioners 12

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": "1476748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476748800000",
    "number": "1366993099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25124 SPRINGFIELD CT",
            "address_2": "SUITE 200",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913551085",
            "telephone_number": "661-678-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 S MERIDIAN",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733701",
            "telephone_number": "253-840-1840",
            "fax_number": "253-841-9336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "U.S. HEALTHWORKS MEDICAL GROUP OF WASHINGTON, PS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. HEALTHWORKS MEDICAL GROUP OF WASHINGTON, PS",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-10-18",
        "status": "A",
        "authorized_official_last_name": "MALLAS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "661-678-2600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; 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.