Cirilo P Adao, PAC

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

PA0001585 Issued in WA

Practice address

7424 Bridgeport Way W
Suite 301
Lakewood, WA 98499-8120

Phone

(253) 474-5141

Fax

(253) 474-5507

NPI assigned

Jul 9, 2006

Last updated

Dec 6, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southgate Medical Clinic, P.S.

  • Primary Care Clinic/Center
  • Seattle, WA
  • NPI 1285751990
  Medicare reassignment
• Rafael Medicus Clinic, Corp.

  • Family Medicine Physician
  • Lakewood, WA
  • NPI 1558718684
  NPD (past)

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354752000000",
    "number": "1811920010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7424BRIDGEPORT WAY WEST",
            "address_2": "SUITE301",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "98499",
            "telephone_number": "253-474-5141",
            "fax_number": "253-474-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7424 BRIDGEPORT WAY W",
            "address_2": "SUITE 301",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984998120",
            "telephone_number": "253-474-5141",
            "fax_number": "253-474-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAO",
        "first_name": "CIRILO",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2012-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "WA",
            "license": "PA0001585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811920010",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chloe Adams, PHD
• Jevon Adams
• Katherine Rose Adams, MSW
• Michelle Adams
• Steven Charles Adams, BA
• Atlabachew M Adera, PHARMD
• Ariel Shay Adereth
• Oletta N Adjetey, BA
• Adon'Ai Chiropractic & Women's Rehabilitation, Inc. (Bayshore Medical Spa)
• Advanced Familycare Medicine LLC (Chejunghee Clinic)

• Addiction Medicine (Family Medicine) Physician in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Addiction Medicine (Family Medicine) Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.