NPIMap

Individual provider Active NPI

Luan Nguyen

  • Anatomic Pathology & Clinical Pathology Physician
  • Everett, WA
National Provider Identifier
1609252881
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
MD61157457 Issued in WA
Practice address
1321 Colby Ave Ste A2-300
Everett, WA 98201-1665
Phone
(425) 493-5551
NPI assigned
Aug 10, 2015
Last updated
Jan 4, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X A143837 CA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD61157457 WA Primary

Addresses

Primary practice location

1321 Colby Ave Ste A2-300
Everett, WA 98201-1665

Mailing address

1321 Colby Ave Ste A2-300
Everett, WA 98201-1665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210916002794 WA Practitioner - Pathology 7719384882 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Texas a & M University System, HSC, College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cellnetix Pathology PLLCGroup PAC ID 8224062971, 58 clinicians

Practice addresses (Care Compare)

12040 NE 128TH St
Ms 44
Kirkland, WA 98034-3013
Phone (844) 344-4209

1229 Madison St
Suite 820
Seattle, WA 98104-3539
Phone (206) 576-6094

1321 Colby Ave
Everett, WA 98201-1665
Phone (425) 261-2000

16251 Sylvester Rd SW
Burien, WA 98166-3017
Phone (206) 439-5462

21601 76TH Ave W
Edmonds, WA 98026-7507
Phone (425) 640-4000

500 17TH Ave
Seattle, WA 98122-5711
Phone (206) 320-2000

747 Broadway
Seattle, WA 98122-4379
Phone (206) 386-6000

751 NE Blakely Dr
Issaquah, WA 98029-6201
Phone (425) 313-4000

800 W 5TH Ave
Spokane, WA 98204-2803
Phone (509) 458-5800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A143837CAMDAnatomic Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Polyclinic PLLC Current Accepting new patients
Cellnetix Pathology, PLLC Anatomic Pathology & Clinical Pathology Current Accepting new patients
Cellnetix Pathology, PLLC Anatomic Pathology & Clinical Pathology CurrentSince Aug 1, 2021 Accepting new patients
The Polyclinic PLLC CurrentSince Sep 9, 2021 Accepting new patients
The Polyclinic CurrentSince Sep 9, 2021 Accepting new patients
Cellnetix Pathology, PLLC Anatomic Pathology & Clinical Pathology CurrentSince Aug 1, 2021 Accepting new patients

Locations

1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413

1321 Colby Ave
Ste A2300
Everett, WA 98201
Phone (425) 493-5551

1145 Broadway
Seattle, WA 98122

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

904 7th Ave
Seattle, WA 98104
Phone (206) 223-6487

800 W 5th Ave
Spokane, WA 99204
Phone (509) 458-5800

Organizations & group practices 6

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.

Hospital & facility affiliations 10

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": "1439164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1609252881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 COLBY AVE STE A2-300",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982011665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 COLBY AVE STE A2-300",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982011665",
            "telephone_number": "425-493-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "LUAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-10",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "CA",
            "license": "A143837",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "WA",
            "license": "MD61157457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.