JS Medical Clinic PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00043005 Issued in WA

Legal business name

JS MEDICAL CLINIC PLLC

Practice address

101 SW 41St St Ste J
Renton, WA 98055-4974

Phone

(425) 251-8239

Fax

(425) 251-6298

NPI assigned

Mar 14, 2007

Organization subpart

No

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

Authorized official

Name

Shan Jiang, MD

Title

Owner

Phone

(425) 251-8239

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609909860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SW 41ST ST STE J",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980554974",
            "telephone_number": "425-251-8239",
            "fax_number": "425-251-6298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SW 41ST ST STE J",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980554974",
            "telephone_number": "425-251-8239",
            "fax_number": "425-251-6298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JS MEDICAL CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JIANG",
        "authorized_official_first_name": "SHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-251-8239",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00043005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1122951",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Reid Joseph, DO
• Hayati Bharatkumar Joshi
• Joshua Hiep Le, DO, PLLC
• Joshua L. Miler, O.D., P.S.
• Joy Mental Wealth Services PLLC
• Juan Carlos Salazar, DDS, PS
• Aslie Juan, MOT, OTR/L
• Cathleen Erin Juarez, ARNP
• Leah Julius, RD
• Dieter M Jung, DPT

• Family Medicine Physician in Renton, WA
• Providers in Renton, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.