Organization Active NPI

Valley Young Peoples Clinic PS

  • Pediatrics Physician
  • Spokane Valley, WA
National Provider Identifier
1427196880
Registry record updated Aug 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
VALLEY YOUNG PEOPLES CLINIC PS
Practice address
1414 N Vercler Rd
BLDG I
Spokane Valley, WA 99216-1092
Phone
(509) 928-6383
Fax
(509) 926-9420
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2011

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

Authorized official

Name
Dr. Bruce Abbotts, MD
Title
President
Phone
(509) 928-6383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

1414 N Vercler Rd
BLDG I
Spokane Valley, WA 99216-1092

Mailing address

1414 N Vercler
BLDG I
Spokane Valley, WA 99216
Phone (509) 928-6383

Other identifiers 1

IdentifierTypeStateIssuer
1010233MedicaidWA

Other names 1

  • Valley Young Peoples Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

1414 N Vercler Rd
Bldg I
Spokane Valley, WA 99216
Phone (509) 928-6383

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313971200000",
    "number": "1427196880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 N VERCLER",
            "address_2": "BLDG I",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "99216",
            "telephone_number": "509-928-6383",
            "fax_number": "509-926-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 N VERCLER RD",
            "address_2": "BLDG I",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161092",
            "telephone_number": "509-928-6383",
            "fax_number": "509-926-9420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY YOUNG PEOPLES CLINIC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2011-08-22",
        "status": "A",
        "authorized_official_last_name": "ABBOTTS",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-928-6383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010233",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Young Peoples Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; 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.