Organization Active NPI

Yakima Womens Health PLLC

  • Obstetrics & Gynecology Physician
  • Yakima, WA
National Provider Identifier
1730342486
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD00044674 Issued in WA
Legal business name
YAKIMA WOMENS HEALTH PLLC
Practice address
1020 S 40TH Ave
Suite C
Yakima, WA 98908-3800
Phone
(509) 966-3969
Fax
(509) 966-3979
NPI assigned
Jul 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Authorized official

Name
Rajkumar Raj
Title
Office Manager
Phone
(509) 966-3969

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207V00000X MD00044674 WA Primary

Addresses

Primary practice location

1020 S 40TH Ave
Suite C
Yakima, WA 98908-3800

Mailing address

1020 S 40TH Ave
Suite C
Yakima, WA 98908-3800
Phone (509) 966-3969

Other identifiers 3

IdentifierTypeStateIssuer
0237843OtherWALABOR AND INDUSTRIES
7143340MedicaidWA
DO5717OtherWARR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081017000550 WA Part B Supplier - Clinic/Group Practice 2769540855 Receives reassigned benefits from 1 practitioner
Practice locations: Yakima, WA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721347200000",
    "number": "1730342486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 S 40TH AVE",
            "address_2": "SUITE C",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989083800",
            "telephone_number": "509-966-3969",
            "fax_number": "509-966-3979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 S 40TH AVE",
            "address_2": "SUITE C",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989083800",
            "telephone_number": "509-966-3969",
            "fax_number": "509-966-3979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAKIMA WOMENS HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A",
        "authorized_official_last_name": "RAJ",
        "authorized_official_first_name": "RAJKUMAR",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "509-966-3969"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "MD00044674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "0237843",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7143340",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DO5717",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.