Organization Active NPI

Asah Clinic

  • Primary Care Clinic/Center
  • Spokane Valley, WA
National Provider Identifier
1811777436
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ASAH CLINIC
Practice address
3901 S Sunderland Dr
Spokane Valley, WA 99206-8629
Phone
(818) 350-9555
Fax
(866) 814-1209
NPI assigned
Oct 2, 2023
Last updated
Oct 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Authorized official

Name
Angela Kisel, FNPNPI 1851059513
Title
Sole Proprietor
Phone
(818) 350-9555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

3901 S Sunderland Dr
Spokane Valley, WA 99206-8629

Mailing address

3901 S Sunderland Dr
Spokane Valley, WA 99206-8629
Phone (818) 350-9555

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, 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": "1696204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1811777436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 S SUNDERLAND DR",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992068629",
            "telephone_number": "818-350-9555",
            "fax_number": "866-814-1209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 S SUNDERLAND DR",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992068629",
            "telephone_number": "818-350-9555",
            "fax_number": "866-814-1209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASAH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "KISEL",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "818-350-9555",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.