Active NPI
Kevin Ma
- Family Medicine Physician
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD221817
- Practice address
- 1000 SE Tech Center Dr Ste 120
Vancouver, WA 98683-5548 - Phone
- (360) 487-4660
- NPI assigned
- Apr 30, 2021
- Last updated
- Aug 18, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD221817 | OR | Primary |
| Family Medicine Physician | 207Q00000X | MD61578733 | WA |
Addresses
Primary practice location
1000 SE Tech Center Dr Ste 120
Vancouver, WA 98683-5548
Mailing address
PO Box 2077
Portland, OR 97208-2077
Phone (503) 413-3900
Other practice location 1
5909 SE 92nd Ave
Portland, OR 97266-4642
Phone (503) 771-0055
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Texas Southwestern Medical School at Dallas, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
414 S University Rd
Spokane Valley, WA 99206-5555
Phone (855) 722-9700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of the Northwest | Multi-Specialty | Current | Accepting new patients |
| Altea Medical Washington PLLC | Multi-Specialty | Current | Accepting new patients |
| Post Acute Medical PLLC | Multi-Specialty | Current | Accepting new patients |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Fort Vancouver of Cascadia, LLC | Past | Accepting new patients |
Locations
400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297
10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946
10180 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2880
500 NE Multnomah St
Ste 100
Portland, OR 97232
Phone (503) 499-5200
2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400
414 17th St SE
Auburn, WA 98002
Phone (253) 320-0748
303 Telegraph Rd
Bellingham, WA 98226
Phone (360) 863-6696
1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801
2821 S Walden St
Seattle, WA 98144
Phone (206) 577-6200
6025 N Assembly St
Spokane, WA 99205
Phone (509) 326-8282
414 S University Rd
Spokane Valley, WA 99206
Phone (509) 924-4650
6220 S Alaska St
Tacoma, WA 98408
Phone (253) 473-2273
7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000
Interoperability endpoints
- kma479372@direct.peacehealth.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Geriatric Medicine (Internal Medicine) Physician
- Lanham, MD
- NPI 1730713025
Multi-Specialty, WA
-
- Geriatric Medicine (Internal Medicine) Physician
- Everett, WA
- NPI 1609655497
Multi-Specialty
-
- General Practice Physician
- Portland, OR
- NPI 1184786527
Multi-Specialty, WA
-
- Clinic/Center
- Hillsboro, OR
- NPI 1942718622
-
- Skilled Nursing Facility
- Vancouver, WA
- NPI 1790352078
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787011200000",
"number": "1467035238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2077",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972082077",
"telephone_number": "503-413-3900",
"fax_number": "503-413-3710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 SE TECH CENTER DR STE 120",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986835548",
"telephone_number": "360-487-4660"
}
],
"practiceLocations": [
{
"address_1": "5909 SE 92nd Ave",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972664642",
"country_code": "US",
"telephone_number": "503-771-0055",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MA",
"first_name": "KEVIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-30",
"last_updated": "2026-08-18",
"certification_date": "2026-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "MD221817",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD61578733",
"primary": false
}
],
"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 Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.