Active NPI
Julio F Buenaventura, MD
- Internal Medicine Physician
- Lakewood, WA
National Provider Identifier
1477553246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD00009747
- Practice address
- 7501 92ND Avenue CT SW
Lakewood, WA 98498-3973 - Phone
- (253) 588-0058
- Fax
- (253) 589-4862
- NPI assigned
- Jul 22, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD00009747 | WA | Primary |
Addresses
Primary practice location
7501 92ND Avenue CT SW
Lakewood, WA 98498-3973
Mailing address
7501 92ND Avenue CT SW
Lakewood, WA 98498-3973
Phone (253) 588-0058
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 224270001 | Other | WA | GROUP HEALTH |
| 110056335 | Other | RAILROAD MEDICARE | |
| 1121201 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00009747 | WA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orchard Medical Clinic | Past | Accepting new patients | |
| Adult Inpatient Medical Services,PLLC | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Tacoma, WA
- NPI 1568601722
-
- Medical Specialty Clinic/Center
- University Place, WA
- NPI 1255603874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274054400000",
"number": "1477553246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7501 92ND AVENUE CT SW",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984983973",
"telephone_number": "253-588-0058",
"fax_number": "253-589-4862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7501 92ND AVENUE CT SW",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984983973",
"telephone_number": "253-588-0058",
"fax_number": "253-589-4862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUENAVENTURA",
"first_name": "JULIO",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-22",
"last_updated": "2010-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD00009747",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP HEALTH",
"identifier": "224270001",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110056335",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1121201",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.