Individual provider Active NPI

Vanessa Brennan Kwok, DO

  • Internal Medicine Physician
  • Mill Creek, WA
National Provider Identifier
1497749394
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OP60886171 Issued in WA
Practice address
13206 Bothell Everett Hwy
Mill Creek, WA 98012-3402
Phone
(833) 411-5469
NPI assigned
Sep 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 3972 AZ
Internal Medicine Physician 207R00000X OP60886171 WA Primary

Addresses

Primary practice location

13206 Bothell Everett Hwy
Mill Creek, WA 98012-3402

Mailing address

13206 Bothell Everett Hwy
Mill Creek, WA 98012-3402

Other practice location 1

3401 Centre Lake Dr
Suite 650
Ontario, CA 91761-1201
Phone (909) 351-8529

Other identifiers 1

IdentifierTypeStateIssuer
817835-03MedicaidAZ

Other names 1

  • Vanessa Brennan Former name

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 Osteopathy

State licenses

LicenseStateTypeSpecialty
OP60886171WAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scottsdale Primary Care, PC Internal Medicine CurrentSince Dec 26, 2012 Accepting new patients

Locations

7534 E 2nd St
Ste 102
Scottsdale, AZ 85251
Phone (480) 607-3800

Interoperability endpoints

  • Direct secure messaging: vanessa.kwok.p1@direct.caremorewest.nextgenshare.com
  • Direct secure messaging: vkwok@landmarkhealth-direct.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1497749394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13206 BOTHELL EVERETT HWY",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980123402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13206 BOTHELL EVERETT HWY",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980123402",
            "telephone_number": "833-411-5469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3401 Centre Lake Dr",
            "address_2": "Suite 650",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "CA",
            "postal_code": "917611201",
            "country_code": "US",
            "telephone_number": "909-351-8529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KWOK",
        "first_name": "VANESSA",
        "middle_name": "BRENNAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-07",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "3972",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "OP60886171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "817835-03",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "BRENNAN",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mill Creek, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.