Active NPI
Westcare Clinic Inc PS
- General Practice Physician
- Renton, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- WESTCARE CLINIC INC PS
- Practice address
- 4509 Talbot Rd S Ste 201
Renton, WA 98055-6294 - Phone
- (360) 357-9392
- Fax
- (360) 528-3049
- NPI assigned
- Nov 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Quan Haduong, MD
- Title
- Owner
- Phone
- (702) 386-4700
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| General Practice Physician | 208D00000X | Primary | ||
| Pain Medicine Physician | 208VP0000X |
Addresses
Primary practice location
4509 Talbot Rd S Ste 201
Renton, WA 98055-6294
Mailing address
7602 Bridgeport Way W Ste 4a
Lakewood, WA 98499-2432
Phone (360) 357-9392
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040308001310 | WA | Part B Supplier - Clinic/Group Practice | 1557259827 |
Receives reassigned benefits from 11 practitioners Practice locations: Lacey, WA; Lakewood, WA; Renton, WA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D2234141 | Westcare Clinic | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryLocations
3830 A St SE
Auburn, WA 98002
Phone (253) 804-9190
3830 A St SE
Ste 204
Auburn, WA 98002
Phone (253) 245-1919
4310 Colby Ave
Ste 101
Everett, WA 98203
Phone (425) 258-2124
130 Marvin Rd SE
Ste 111
Lacey, WA 98503
Phone (360) 357-9392
7602 Bridgeport Way W
Ste 1A
Lakewood, WA 98499
Phone (360) 357-9392
7602 Bridgeport Way W
Ste 4A
Lakewood, WA 98499
Phone (253) 302-0618
7602 Bridgeport Way W
Lakewood, WA 98499
3000 Limited Ln NW
Olympia, WA 98502
Phone (360) 357-9392
4509 Talbot Rd S
Ste 105A
Renton, WA 98055
Phone (253) 993-8099
4509 Talbot Rd S
Ste 201
Renton, WA 98055
Phone (253) 839-9330
4509 Talbot Rd S
Renton, WA 98055
Phone (206) 228-4520
12709 E Mirabeau Pkwy
Ste 200
Spokane Valley, WA 99216
Phone (360) 357-9392
12709 E Mirabeau Pkwy
Bldg A200
Spokane Valley, WA 99216
2115 S 56th St
Ste 101
Tacoma, WA 98409
Phone (253) 212-0907
6101 Summitview Ave
Ste 220
Yakima, WA 98908
Phone (509) 995-4114
Practitioners & affiliated clinicians
Practitioners 21
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- Bryan, TX
- NPI 1518353192
Multi-Specialty, WA
-
- Pain Medicine (Anesthesiology) Physician
- Las Vegas, NV
- NPI 1326115429
Pain Medicine, WA
-
- Pain Medicine (Anesthesiology) Physician
- Las Vegas, NV
- NPI 1942341854
Pain Medicine, WA
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Roseville, CA
- NPI 1407277155
WA
-
- Anesthesiology Physician
- Las Vegas, NV
- NPI 1710963210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701993600000",
"number": "1881769552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7602 BRIDGEPORT WAY W STE 4A",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984992432",
"telephone_number": "360-357-9392",
"fax_number": "360-528-3049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4509 TALBOT RD S STE 201",
"city": "RENTON",
"state": "WA",
"postal_code": "980556294",
"telephone_number": "360-357-9392",
"fax_number": "360-528-3049"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTCARE CLINIC INC PS",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-21",
"last_updated": "2023-12-08",
"certification_date": "2023-12-08",
"status": "A",
"authorized_official_last_name": "HADUONG",
"authorized_official_first_name": "QUAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "702-386-4700",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.