Active NPI
Mario H Tobia, BT4295829
- Pediatrics Physician
- Sunnyside, WA
National Provider Identifier
1679733604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD00035449
- Practice address
- 812 Miller Ave Ste C
Sunnyside, WA 98944-2377 - Phone
- (509) 837-7551
- Fax
- (509) 837-6341
- NPI assigned
- Jun 12, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD00035449 | WA | Primary |
Addresses
Primary practice location
812 Miller Ave Ste C
Sunnyside, WA 98944-2377
Mailing address
812 Miller Ave Ste C
Sunnyside, WA 98944-2377
Phone (509) 837-7551
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00035449 | WA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213228800000",
"number": "1679733604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "812 MILLER AVE STE C",
"city": "SUNNYSIDE",
"state": "WA",
"postal_code": "989442377",
"telephone_number": "509-837-7551",
"fax_number": "509-837-6341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "812 MILLER AVE STE C",
"city": "SUNNYSIDE",
"state": "WA",
"postal_code": "989442377",
"telephone_number": "509-837-7551",
"fax_number": "509-837-6341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOBIA",
"first_name": "MARIO",
"middle_name": "H",
"name_prefix": "Mr.",
"credential": "BT4295829",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-12",
"last_updated": "2008-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WA",
"license": "MD00035449",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sunnyside, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.