Active NPI
Jasmin Narvaez Zavala
- Pediatric Adolescent Medicine Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- MD60570861
- Practice address
- 9635 Des Moines Memorial Dr
Seattle, WA 98108-5061 - Phone
- (206) 658-2175
- Fax
- (206) 658-2170
- NPI assigned
- Apr 10, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ML60292990 | WA | |
| Pediatric Adolescent Medicine Physician | 2080A0000X | MD60570861 | WA | Primary |
| Pediatrics Physician | 208000000X | MD60570861 | WA |
Addresses
Primary practice location
9635 Des Moines Memorial Dr
Seattle, WA 98108-5061
Mailing address
PO Box 34703
Seattle, WA 98124-1703
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190909002199 | WA | Practitioner - Pediatric Medicine | 8527397009 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ML60292990 | WA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sea Mar Community Health Centers | Current | Accepting new patients | |
| Sea Mar Community Health Centers | Current | Accepting new patients | |
| Sea Mar Community Health Centers | Current | Accepting new patients | |
| Sea-Mar Community Health Center | Past | Accepting new patients |
Locations
9635 Des Moines Memorial Dr
Seattle, WA 98108
Phone (206) 474-2001
8720 14th Ave S
Seattle, WA 98108
Phone (206) 762-3730
Interoperability endpoints
- jzavala451829@direct.multicare.org
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Childrens Hospital & Regional Medical Center | Hospital | Corporate Director | Oct 1, 2024 |
Owned or controlled facilities with NPI records 5
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Rehabilitation Hospital Unit
- Seattle, WA
- NPI 1184708992
Corporate Director
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Seattle, WA
- NPI 1811041692
Corporate Director
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Aberdeen, WA
- NPI 1811051170
WA
-
- Federally Qualified Health Center (FQHC)
- Burien, WA
- NPI 1245387679
-
- Federally Qualified Health Center (FQHC)
- Spanaway, WA
- NPI 1922624642
-
- Family Medicine Physician
- Seattle, WA
- NPI 1942358817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666915200000",
"number": "1881950244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34703",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981241703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9635 DES MOINES MEMORIAL DR",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981085061",
"telephone_number": "206-658-2175",
"fax_number": "206-658-2170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAVALA",
"first_name": "JASMIN",
"middle_name": "NARVAEZ",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-10",
"last_updated": "2022-10-28",
"certification_date": "2022-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WA",
"license": "ML60292990",
"primary": false
},
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "WA",
"license": "MD60570861",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WA",
"license": "MD60570861",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.