NPIMap

Organization Active NPI

Rapha Integrative Family Clinic, PLLC

  • Non-Pharmacy Dispensing Site
  • Bellevue, WA
National Provider Identifier
1851750822
Registry record updated Feb 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
NT60468293 Issued in WA
Legal business name
RAPHA INTEGRATIVE FAMILY CLINIC, PLLC
Practice address
1603 116TH Ave NE
Suite 111
Bellevue, WA 98004-3009
Phone
(425) 326-1668
Fax
(888) 431-8819
NPI assigned
Feb 18, 2016
Organization subpart
Yes
Parent organization
RAPHA INTEGRATIVE FAMILY CLINIC, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 18, 2016

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

Authorized official

Name
Jung E. Chang, N.D.
Title
Owner
Phone
(425) 326-1668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X NT60468293 WA Primary

Addresses

Primary practice location

1603 116TH Ave NE
Suite 111
Bellevue, WA 98004-3009

Mailing address

2980 N Beverly Glen Cir
Suite 100
Los Angeles, CA 90077-1726
Phone (310) 943-4180

National Provider Directory

National Provider Directory
Tax ID family
Rapha Integrative Family Clinic PLLC2 organizations share this tax ID, including this one
Part of
Rapha Integrative Family Clinic PLLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455753600000",
    "number": "1851750822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-943-4180",
            "fax_number": "888-431-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 116TH AVE NE",
            "address_2": "SUITE 111",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043009",
            "telephone_number": "425-326-1668",
            "fax_number": "888-431-8819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPHA INTEGRATIVE FAMILY CLINIC, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RAPHA INTEGRATIVE FAMILY CLINIC, PLLC",
        "enumeration_date": "2016-02-18",
        "last_updated": "2016-02-18",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "JUNG",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-326-1668",
        "authorized_official_credential": "N.D."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "WA",
            "license": "NT60468293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; 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.