Individual provider Active NPI

Carter F. Yeatman II, M.D.

  • Diagnostic Radiology Physician
  • Lynnwood, WA
National Provider Identifier
1780872564
Registry record updated Feb 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD00048526 Issued in WA
Practice address
19020 33Rd Ave W
Ste 210
Lynnwood, WA 98036-4746
Phone
(425) 563-1500
Fax
(425) 563-1374
NPI assigned
Oct 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X MD00048526 WA
Diagnostic Radiology Physician 2085R0202X MD00048526 WA Primary
Diagnostic Radiology Physician 2085R0202X M-12318 ID

Addresses

Primary practice location

19020 33Rd Ave W
Ste 210
Lynnwood, WA 98036-4746

Mailing address

19020 33Rd Ave W
Ste 210
Lynnwood, WA 98036-4746
Phone (425) 563-1500

Other identifiers 4

IdentifierTypeStateIssuer
8529893MedicaidWA
1780872564MedicaidID
248107OtherWAL&I PROVIDER ID
248087OtherWAL&I PROVIDER ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID, CA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20090205000520 WA Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 9931263985 Reassigns benefits to 23 organizations
I20150113000709 ID Practitioner - Diagnostic Radiology 9931263985 Reassigns benefits to 1 organization
I20240925001653 CA Practitioner - Diagnostic Radiology 9931263985 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Nuclear Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tower Imaging Medical Associates IncGroup PAC ID 2163608688, 93 clinicians
Radia Inc P SGroup PAC ID 9931012812, 275 clinicians
Radia Oregon Radiology Medical Group LLCGroup PAC ID 2961852637, 122 clinicians
Evergreen Radia LLCGroup PAC ID 4587568076, 116 clinicians
Medford Radiological Group PCGroup PAC ID 2062303324, 91 clinicians
Swedish Health ServicesGroup PAC ID 3173433067, 156 clinicians
Swedish Radia Imaging Center at Edmonds LLCGroup PAC ID 5496778292, 115 clinicians
Yakima Valley Memorial PhysiciansGroup PAC ID 1557391596, 397 clinicians
South Sound Radiologists Inc P SGroup PAC ID 1254229305, 76 clinicians
Radia California Radiology Medical Group IncGroup PAC ID 8921465998, 134 clinicians
Swedish Health ServicesGroup PAC ID 0244138196, 1,038 clinicians
County of Santa ClaraGroup PAC ID 1254244973, shared by 46 NPIs, 1,000 clinicians

Practice addresses (Care Compare)

Seattle, WA 98126
Phone (323) 549-3030

101 N Main St
Coupeville, WA 98239-3413
Phone (360) 678-7607

10501 NE 114TH LN
Kirkland, WA 98033-4426
Phone (425) 563-1500

11521 NE 128TH St
Suite 200
Kirkland, WA 98034-4317
Phone (425) 952-6100

1201 S Miller St
Wenatchee, WA 98801-3201
Phone (509) 662-2208

12731 SE 25TH PL
Bellevue, WA 98005-4201
Phone (541) 618-5800

1593 E Polston Ave
Post Falls, ID 83854-5326
Phone (208) 262-2300

18100 NE Union Hill Rd
Redmond, WA 98052-3330
Phone (425) 498-2030

2141 272ND Way SE
Sammamish, WA 98075-7937
Phone (323) 549-3030

21700 Hwy 99
Edmonds, WA 98026-8034
Phone (425) 297-6200

2811 Tieton Dr
Yakima, WA 98902-3761
Phone (509) 575-8000

3259 36TH Ave SW
Seattle, WA 98126-2208
Phone (541) 618-5800

3417 Ensign Rd NE
Olympia, WA 98506-5064
Phone (360) 493-4600

550 17TH Ave
Suite 630
Seattle, WA 98122-5797
Phone (425) 563-1500

747 Broadway
Seattle, WA 98122-4379
Phone (206) 386-6000

751 S Bascom Ave
San Jose, CA 95128-2604
Phone (408) 885-5000

810 Jasmine St
Omak, WA 98841-9578
Phone (509) 826-1760

9801 Frontier Ave SE
Snoqualmie, WA 98065-5200
Phone (425) 831-2313

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M-12318IDMDDiagnostic Radiology Physician
MD00048526WAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara Current Accepting new patients
Radia Imaging Center Holdings LLC Diagnostic Radiology CurrentSince Jan 1, 2019 Accepting new patients
Okanogan County Public Hospital District No. 3 CurrentSince Dec 29, 2010 Accepting new patients
Evergreen Radia LLC Diagnostic Radiology CurrentSince Jul 1, 2009 Accepting new patients
Swedish Health Services CurrentSince Nov 5, 2017 Accepting new patients
Swedish Radia Imaging Center at Edmonds LLC Diagnostic Radiology CurrentSince Jul 1, 2009 Accepting new patients
Wenatchee Valley Hospital CurrentSince Jul 21, 2013 Accepting new patients
Yakima Valley Memorial Physicians CurrentSince Oct 1, 2025 Accepting new patients
Swedish Health Services CurrentSince Nov 23, 2022 Accepting new patients
County of Santa Clara CurrentSince Sep 16, 2024 Accepting new patients
Medford Radiological Group, PC Diagnostic Radiology CurrentSince Feb 5, 2024 Accepting new patients
County of Santa Clara CurrentSince Sep 16, 2024 Accepting new patients
Advanced Imaging of South Bay, Inc. Diagnostic Radiology CurrentSince Feb 20, 2024 Accepting new patients
Yakima Valley Memorial Physicians CurrentSince Oct 1, 2025 Accepting new patients
Radia Inc P S Diagnostic Radiology CurrentSince Jul 1, 2009 Accepting new patients
Central Washington Health Services Association Current Accepting new patients
County of Santa Clara Current Accepting new patients
Swedish Health Services CurrentSince Nov 8, 2011 Accepting new patients
Central Washington Health Services Association CurrentSince Sep 1, 2022 Accepting new patients
Public Hospital District No 4 King County Washington CurrentSince Jul 9, 2009 Accepting new patients
Radia California Radiology Medical Group Inc Diagnostic Radiology CurrentSince Jan 1, 2024 Accepting new patients
Public Hospital District No 4 King County Washington CurrentSince Jul 9, 2009 Accepting new patients
Okanogan County Public Hospital Dist No 4 CurrentSince Jan 1, 2026 Accepting new patients
Swedish Health Services CurrentSince Nov 23, 2022 Accepting new patients
County of Santa Clara CurrentSince Sep 16, 2024 Accepting new patients
County of Santa Clara CurrentSince Sep 16, 2024 Accepting new patients
Swedish Health Services CurrentSince Nov 8, 2011 Accepting new patients
Radia Imaging Center Holdings LLC Diagnostic Radiology CurrentSince Jan 1, 2019 Accepting new patients
Swedish Health Services Current Accepting new patients
Radia Inc P S Diagnostic Radiology CurrentSince Jul 1, 2009 Accepting new patients
Radia Oregon Radiology Medical Group LLC Diagnostic Radiology CurrentSince Jan 1, 2024 Accepting new patients
Swedish Health Services CurrentSince Nov 5, 2017 Accepting new patients
Radiology Associates PA Diagnostic Radiology CurrentSince Aug 29, 2025 Accepting new patients
South Sound Radiologists Inc P S Diagnostic Radiology CurrentSince Jan 1, 2018 Accepting new patients
Okanogan County Public Hospital Dist No 4 CurrentSince Jan 1, 2011 Accepting new patients
Tower Imaging Medical Associates, Inc. Nuclear Medicine CurrentSince Dec 28, 2023 Accepting new patients
Okanogan County Public Hospital Dist No 4 CurrentSince Jan 1, 2011 Accepting new patients
Public Hospital District No 4, King County Wa Past Accepting new patients
Ozark Tri-County Health Care Consortium Past Accepting new patients
Everett Radia LLC Diagnostic Radiology Past Accepting new patients
Wenatchee Valley Hospital Past Accepting new patients
Wenatchee Valley Hospital Past Accepting new patients
Central Washington Health Services Association Past Accepting new patients
Swedish Medical Center-Radia Issaquah Imaging Center LLC Diagnostic Radiology Past Accepting new patients
Yakima Valley Memorial Hospital Association Past Accepting new patients

Locations (25 of 68)

500 S University Ave
Ste 101
Little Rock, AR 72205
Phone (501) 686-2688

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

13355 Hawthorne Blvd
Hawthorne, CA 90250
Phone (310) 355-0100

1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050

750 S Bascom Ave
#1112
San Jose, CA 95128

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

1300 W 7th St
San Pedro, CA 90732
Phone (310) 514-5350

901 Wilshire Blvd
Fl 1
Santa Monica, CA 90401
Phone (310) 829-8441

1328 22nd St
Santa Monica, CA 90404
Phone (310) 829-5511

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

2202 Wilshire Blvd
Santa Monica, CA 90403
Phone (310) 264-9000

121 Sotoyome St
Santa Rosa, CA 95405
Phone (707) 546-3141

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

4101 Torrance Blvd
Torrance, CA 90503
Phone (310) 540-7676

5215 Torrance Blvd
Ste 110
Torrance, CA 90503
Phone (310) 316-2424

20929 Hawthorne Blvd
Torrance, CA 90503
Phone (310) 303-7040

21311 Madrona Ave
Ste 100A
Torrance, CA 90503
Phone (310) 792-4400

2382 Crenshaw Blvd
Ste 5
Torrance, CA 90501
Phone (310) 618-6200

23845 McBean Pkwy
Valencia, CA 91355
Phone (661) 200-2000

1593 E Polston Ave
Post Falls, ID 83854
Phone (208) 262-2300

830 Alder Creek Dr
Medford, OR 97504

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/ef853cc1-94e4-4ed7-883a-9be7485e458e/

Organizations & group practices 45

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.

View all 45

Hospital & facility affiliations 7

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": "1191542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423440000000",
    "number": "1780872564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19020 33RD AVE W",
            "address_2": "STE 210",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364746",
            "telephone_number": "425-563-1500",
            "fax_number": "425-563-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19020 33RD AVE W",
            "address_2": "STE 210",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364746",
            "telephone_number": "425-563-1500",
            "fax_number": "425-563-1374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEATMAN",
        "first_name": "CARTER",
        "middle_name": "F.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-05",
        "last_updated": "2015-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "WA",
            "license": "MD00048526",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD00048526",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ID",
            "license": "M-12318",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8529893",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780872564",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I PROVIDER ID",
            "identifier": "248107",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I PROVIDER ID",
            "identifier": "248087",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

Verify at the official NPI Registry.