Active NPI
Vanessa Brennan Kwok, DO
- Internal Medicine Physician
- Mill Creek, WA
National Provider Identifier
1497749394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- OP60886171
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 817835-03 | Medicaid | AZ |
Other names 1
- Vanessa Brennan
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
| License | State | Type | Specialty |
|---|---|---|---|
| OP60886171 | WA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scottsdale Primary Care, PC | Internal Medicine | Current | Accepting new patients |
Locations
7534 E 2nd St
Ste 102
Scottsdale, AZ 85251
Phone (480) 607-3800
Interoperability endpoints
- vanessa.kwok.p1@direct.caremorewest.nextgenshare.com
- 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.
-
- Internal Medicine Physician
- Scottsdale, AZ
- NPI 1184971376
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.