Individual provider Active NPI

Angela J Zhang, DO

  • Family Medicine Physician
  • Newcastle, WA
National Provider Identifier
1710324454
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OP60688457 Issued in WA
Practice address
7203 129TH Ave SE Ste 100
Newcastle, WA 98056-1412
Phone
(425) 690-3455
Fax
(425) 690-9455
NPI assigned
Jun 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OP60688457 WA Primary

Addresses

Primary practice location

7203 129TH Ave SE Ste 100
Newcastle, WA 98056-1412

Mailing address

7330 164TH Ave NE Ste E160
Redmond, WA 98052-7843
Phone (833) 411-5469

Other identifiers 1

IdentifierTypeStateIssuer
2028179MedicaidWA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161007001076 WA Practitioner - Family Practice 1153641212 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Medical Group-Renton Family Medicine CurrentSince Sep 1, 2016 Accepting new patients

Locations

16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971

7203 129th Ave SE
Ste 100
Newcastle, WA 98056
Phone (425) 656-5406

3915 Talbot Rd S
Ste 401
Renton, WA 98055
Phone (425) 656-4224

3600 Lind Ave SW
Ste 100
Renton, WA 98057

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1710324454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7330 164TH AVE NE STE E160",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980527843",
            "telephone_number": "833-411-5469",
            "fax_number": "855-459-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7203 129TH AVE SE STE 100",
            "city": "NEWCASTLE",
            "state": "WA",
            "postal_code": "980561412",
            "telephone_number": "425-690-3455",
            "fax_number": "425-690-9455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHANG",
        "first_name": "ANGELA",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-03",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP60688457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2028179",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newcastle, WA

Sources for this page

Verify at the official NPI Registry.