Active NPI
Roberto Alejandro Velazquez Amador, MD
- Family Medicine Physician
- Everett, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD61666076
- Practice address
- 1818 121St St SE
Everett, WA 98208-5985 - Phone
- (425) 357-3304
- Fax
- (425) 357-3317
- NPI assigned
- Apr 11, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | PTL36 | CA | |
| Family Medicine Physician | 207Q00000X | MD61666076 | WA | Primary |
| Family Medicine Physician | 207Q00000X | A173515 | CA |
Addresses
Primary practice location
1818 121St St SE
Everett, WA 98208-5985
Mailing address
7600 Evergreen Way
Everett, WA 98203-6421
Phone (206) 860-5414
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, WA
- 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
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1818 121St St SE
Everett, WA 98208-5985
Phone (425) 304-1100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A173515 | CA | MD | Family Medicine Physician |
| MD61666076 | WA | MD | Family Medicine Physician |
| PTL36 | CA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles (11 of 12)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Care Washington PLLC | Family Medicine | Current | Accepting new patients |
| The Polyclinic PLLC | Family Medicine | Current | Accepting new patients |
| Optum Care Washington PLLC | Family Medicine | Current | Accepting new patients |
| Clinica Sierra Vista | Current | Accepting new patients | |
| Clinica Sierra Vista | Current | Accepting new patients | |
| Clinica Sierra Vista | Current | Accepting new patients | |
| Clinica Sierra Vista | Current | Accepting new patients | |
| The Polyclinic PLLC | Family Medicine | Current | Accepting new patients |
| Clinica Sierra Vista | Current | Accepting new patients | |
| Optum Care Washington PLLC | Past | Accepting new patients | |
| Clinica Sierra Vista | Past | Accepting new patients |
Locations
1305 Bear Mountain Blvd
Arvin, CA 93203
Phone (661) 854-3131
7800 Niles St
Bakersfield, CA 93306
Phone (661) 328-4284
425 Del Sol Pkwy
Delano, CA 93215
Phone (661) 720-4011
2740 S Elm Ave
Fresno, CA 93706
Phone (559) 457-5200
1350 S Orange Ave
Fresno, CA 93702
Phone (559) 457-5400
1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903
1818 121st St SE
Everett, WA 98208
Phone (425) 304-1100
3927 Rucker Ave
Everett, WA 98201
Phone (425) 339-5419
1145 Broadway
Seattle, WA 98122
904 7th Ave
Seattle, WA 98104
Phone (206) 223-6487
1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299
1812 S J St
Ste 102
Tacoma, WA 98405
Phone (253) 552-4900
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- rvelazquezamador21097@clinicasierravista.direct-ci.com
- rvelazquezamador99817@direct.tecmc.com
Organizations & group practices 11
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.
-
- Federally Qualified Health Center (FQHC)
- Fresno, CA
- NPI 1740439314
-
- Federally Qualified Health Center (FQHC)
- Bakersfield, CA
- NPI 1861494338
-
- Durable Medical Equipment & Medical Supplies
- Marysville, WA
- NPI 1194428425
Family Medicine
-
- Durable Medical Equipment & Medical Supplies
- Tacoma, WA
- NPI 1831411487
Family Medicine
-
- Community/Retail Pharmacy
- Lamont, CA
- NPI 1275161325
-
- Federally Qualified Health Center (FQHC)
- Fresno, CA
- NPI 1326297904
-
- Federally Qualified Health Center (FQHC)
- Arvin, CA
- NPI 1518969211
-
- Ambulatory Surgical Clinic/Center
- Everett, WA
- NPI 1154318103
-
- Federally Qualified Health Center (FQHC)
- Bakersfield, CA
- NPI 1245234673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776902400000",
"number": "1578060901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7600 EVERGREEN WAY",
"city": "EVERETT",
"state": "WA",
"postal_code": "982036421",
"telephone_number": "206-860-5414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1818 121ST ST SE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982085985",
"telephone_number": "425-357-3304",
"fax_number": "425-357-3317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELAZQUEZ AMADOR",
"first_name": "ROBERTO",
"middle_name": "ALEJANDRO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-11",
"last_updated": "2026-04-23",
"certification_date": "2026-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": "PTL36",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD61666076",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A173515",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.