Organization Active NPI

Atsugi LLC

  • Skilled Nursing Facility
  • Sammamish, WA
National Provider Identifier
1821639717
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ATSUGI LLC
Practice address
23815 SE 28TH St
Sammamish, WA 98075
Phone
(425) 922-4087
NPI assigned
Oct 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

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

Authorized official

Name
Michael Eugene Dorney, MD
Title
Owner
Phone
(425) 922-4087

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

23815 SE 28TH St
Sammamish, WA 98075

Mailing address

3020 Issaquah Pine Lake Rd SE # 115
Sammamish, WA 98075-7253
Phone (425) 922-4087

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://login.pointclickcare.com/home/userLogin.xhtml Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569974400000",
    "number": "1821639717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 ISSAQUAH PINE LAKE RD SE # 115",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980757253",
            "telephone_number": "425-922-4087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23815 SE 28TH ST",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "98075",
            "telephone_number": "425-922-4087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATSUGI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-02",
        "last_updated": "2019-10-02",
        "status": "A",
        "authorized_official_last_name": "DORNEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-922-4087",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://login.pointclickcare.com/home/userLogin.xhtml",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "805 Front St S",
            "city": "Issaquah",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980274205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sammamish, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; 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.