Individual provider Active NPI

Larinda Ogawa, PA-C

  • Medical Physician Assistant
  • University Place, WA
National Provider Identifier
1669740924
Registry record updated Apr 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
60583901 Issued in WA
Practice address
5225 Cirque Dr W Ste 200
University Place, WA 98467-3639
Phone
(253) 848-3000
Fax
(253) 845-8750
NPI assigned
Dec 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 60583901 WA Primary

Addresses

Primary practice location

5225 Cirque Dr W Ste 200
University Place, WA 98467-3639

Mailing address

1703 S Meridian Ste 101
Puyallup, WA 98371-7590
Phone (253) 848-3000

Other practice location 1

1703 S Meridian Ste 101
Puyallup, WA 98371-7590
Phone (253) 848-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151007002955 WA Practitioner - Physician Assistant 1951577188 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cascade Eye and Skin Centers PCGroup PAC ID 4486541554, 47 clinicians

Practice addresses (Care Compare)

4907 Point Fosdick Dr NW
Suite E700
Gig Harbor, WA 98335-1842
Phone (253) 848-3000

5225 Cirque Dr W
University Place, WA 98467-3638
Phone (253) 564-3365

Hospital & facility affiliations

  • Tacoma General Allenmore Hospital Hospital, Tacoma, WA, CCN 500129

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
60583901WAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cascade Eye & Skin Centers P.C. CurrentSince Sep 20, 2016 Accepting new patients
Silver Falls Dermatology, LLC Past Accepting new patients
Rosario Skin Clinic PC Inc Past Accepting new patients

Locations

205 10th St NE
Ste 119
Auburn, WA 98002
Phone (253) 939-7911

10004 204th Ave E
Ste 1500
Bonney Lake, WA 98391

4907 Point Fosdick Dr
Ste E700
Gig Harbor, WA 98335

11216 Sunrise Blvd E
Ste 3
Puyallup, WA 98374
Phone (253) 445-2385

1703 S Meridian
Ste 101
Puyallup, WA 98371
Phone (253) 770-7708

5225 Cirque Dr W
Ste 200
University Place, WA 98467
Phone (253) 564-3365

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1322697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522972800000",
    "number": "1669740924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 S MERIDIAN STE 101",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983717590",
            "telephone_number": "253-848-3000",
            "fax_number": "253-845-8750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 CIRQUE DR W STE 200",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984673639",
            "telephone_number": "253-848-3000",
            "fax_number": "253-845-8750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1703 S Meridian Ste 101",
            "address_purpose": "LOCATION",
            "city": "Puyallup",
            "state": "WA",
            "postal_code": "983717590",
            "country_code": "US",
            "telephone_number": "253-848-3000",
            "fax_number": "253-845-8750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OGAWA",
        "first_name": "LARINDA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-01",
        "last_updated": "2018-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "60583901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in University Place, WA

Sources for this page

Verify at the official NPI Registry.