NPIMap

Organization Active NPI

Pacific Kidney & Hypertension, LLC

Doing business as Snohomish Kidney Institute

  • Nephrology Physician
  • Everett, WA
National Provider Identifier
1619460268
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
PACIFIC KIDNEY & HYPERTENSION, LLC
Doing business as
Snohomish Kidney Institute
Practice address
2707 Colby Ave
Everett, WA 98201-3528
Phone
(425) 339-5413
Fax
(425) 339-4213
NPI assigned
Jun 8, 2018
Last updated
Nov 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Authorized official

Name
Dr. Jeffrey Giullian, MDNPI 1073660932
Title
Physician/Owner
Phone
(855) 397-0197

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X Primary

Addresses

Primary practice location

2707 Colby Ave
Everett, WA 98201-3528

Mailing address

1820 E Ray Rd Ste B201
Chandler, AZ 85225-8720
Phone (855) 397-0197

Other practice location 1

13619 Mukilteo Speedway Ste D1
Lynnwood, WA 98087-1672
Phone (425) 339-5413

Other practice location 2

32650 State Road 20 Ste 101
Oak Harbor, WA 98277-2641
Phone (425) 339-5413

Other names 1

  • Snohomish Kidney Institute Doing business as

National Provider Directory

National Provider Directory

Locations

100 SE Cleveland Ave
Gresham, OR 97080
Phone (503) 674-4955

220 NE Norton Ln
McMinnville, OR 97128
Phone (503) 434-1159

232 NE Norton Ln
McMinnville, OR 97128
Phone (503) 434-1159

1000 N Providence Dr
Ste 320
Newberg, OR 97132
Phone (503) 434-1159

2707 Colby Ave
Everett, WA 98201
Phone (425) 339-5413

32650 State Route 20
Ste 101
Oak Harbor, WA 98277
Phone (360) 240-1596

32650 State Route 20
Ste D101
Oak Harbor, WA 98277
Phone (360) 240-1596

315 SE Stonemill Dr
Ste 200
Vancouver, WA 98684
Phone (360) 836-3320

315 SE Stonemill Dr
Ste 220
Vancouver, WA 98684
Phone (360) 816-2700

9120 NE Vancouver Mall Loop
Ste 160
Vancouver, WA 98662
Phone (360) 891-5777

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1528416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1619460268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 E RAY RD STE B201",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852258720",
            "telephone_number": "855-397-0197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 COLBY AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013528",
            "telephone_number": "425-339-5413",
            "fax_number": "425-339-4213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13619 Mukilteo Speedway Ste D1",
            "address_purpose": "LOCATION",
            "city": "Lynnwood",
            "state": "WA",
            "postal_code": "980871672",
            "country_code": "US",
            "telephone_number": "425-339-5413",
            "fax_number": "425-339-4213",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "32650 State Road 20 Ste 101",
            "address_purpose": "LOCATION",
            "city": "Oak Harbor",
            "state": "WA",
            "postal_code": "982772641",
            "country_code": "US",
            "telephone_number": "425-339-5413",
            "fax_number": "425-339-4213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PACIFIC KIDNEY & HYPERTENSION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-08",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "GIULLIAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "855-397-0197",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Snohomish Kidney Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Snohomish Kidney Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 2, 2023; 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.