Organization Active NPI

Westcare Clinic Inc PS

  • General Practice Physician
  • Renton, WA
National Provider Identifier
1881769552
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
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

Updated by the provider on Dec 8, 2023

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

Authorized official

Name
Quan Haduong, MDNPI 1710963210
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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2234141Westcare Clinic4509 Talbot Rd S Ste 201, Renton, WA 98055Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

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.

View all 21

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.

Verify at the official NPI Registry.