NPIMap

Organization Active NPI

Family Physicians General Clinic

  • General Practice Physician
  • Burien, WA
National Provider Identifier
1770791816
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MD00021620 Issued in WA
Legal business name
FAMILY PHYSICIANS GENERAL CLINIC
Practice address
12459 Ambaum Blvd SW Ste a
Burien, WA 98146-2660
Phone
(206) 444-6533
Fax
(206) 439-0421
NPI assigned
May 21, 2007
Last updated
Apr 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Nina Spalek, MD
Title
Physician
Phone
(206) 444-6533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X MD00021620 WA Primary

Addresses

Primary practice location

12459 Ambaum Blvd SW Ste a
Burien, WA 98146-2660

Mailing address

12459 Ambaum Blvd SW Ste a
Burien, WA 98146-2660
Phone (206) 444-6533

Other identifiers 4

IdentifierTypeStateIssuer
SP8107OtherWAREGENCE
50D0944376OtherWACLIA
122873OtherWAL AND I
7113020MedicaidWA

Other names 1

  • Family Physicians GC Other name

National Provider Directory

National Provider Directory

Locations

12459 Ambaum Blvd SW
#A
Burien, WA 98146
Phone (206) 444-6533

Practitioners & affiliated clinicians

Practitioners 2

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": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1770791816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12459 AMBAUM BLVD SW STE A",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981462660",
            "telephone_number": "206-444-6533",
            "fax_number": "206-439-0421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12459 AMBAUM BLVD SW STE A",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981462660",
            "telephone_number": "206-444-6533",
            "fax_number": "206-439-0421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PHYSICIANS GENERAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "SPALEK",
        "authorized_official_first_name": "NINA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "206-444-6533",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WA",
            "license": "MD00021620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "SP8107",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "50D0944376",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L AND I",
            "identifier": "122873",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7113020",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Physicians GC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Burien, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.

Verify at the official NPI Registry.