Organization Active NPI

Optimum Solutions

  • Health Service Clinic/Center
  • Vancouver, WA
National Provider Identifier
1447016761
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
OPTIMUM SOLUTIONS
Practice address
9120 NE Vancouver Mall Loop Ste 262
Vancouver, WA 98662-6391
Phone
(541) 702-7400
NPI assigned
Feb 23, 2024
Last updated
Jul 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Authorized official

Name
David Opollo Ross, PSYDNPI 1477655454
Title
President
Phone
(360) 602-2620

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NU Primary

Addresses

Primary practice location

9120 NE Vancouver Mall Loop Ste 262
Vancouver, WA 98662-6391

Mailing address

11905 NE 40TH Ave
Vancouver, WA 98686-3152
Phone (360) 602-2620

Other practice location 1

11905 NE 40th Ave
Vancouver, WA 98686-3152
Phone (360) 602-2620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240323000188 WA Part B Supplier - Clinic/Group Practice 8426495615 Receives reassigned benefits from 1 practitioner
Practice locations: Vancouver, WA

National Provider Directory

National Provider Directory

Locations

9120 NE Vancouver Mall Loop
Ste 262
Vancouver, WA 98662
Phone (541) 702-7400

Practitioners & affiliated clinicians

Practitioners 2

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": "1708646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1447016761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11905 NE 40TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986863152",
            "telephone_number": "360-602-2620",
            "fax_number": "360-553-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9120 NE VANCOUVER MALL LOOP STE 262",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626391",
            "telephone_number": "541-702-7400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11905 NE 40th Ave",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986863152",
            "country_code": "US",
            "telephone_number": "360-602-2620",
            "fax_number": "360-553-1556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OPTIMUM SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-23",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "OPOLLO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-602-2620",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.