NPIMap

Organization Active NPI

Total Health Medical Institute LLC

Doing business as La Belle Vie Cosmetic Surgery Center

  • Plastic Surgery Physician
  • Tukwila, WA
National Provider Identifier
1902062706
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
MD00032241 Issued in WA
Legal business name
TOTAL HEALTH MEDICAL INSTITUTE LLC
Doing business as
La Belle Vie Cosmetic Surgery Center
Practice address
16400 Southcenter Parkway
Suite 101
Tukwila, WA 98188
Phone
(206) 575-0300
Fax
(206) 575-1881
NPI assigned
Jul 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2019

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

Authorized official

Name
Mr. Elmer Antonio Mangubat, MDNPI 1467578989
Title
Medical Director
Phone
(206) 575-0300

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X MD00032241 WA Primary

Addresses

Primary practice location

16400 Southcenter Parkway
Suite 101
Tukwila, WA 98188

Mailing address

16400 Southcenter Parkway
Suite 101
Tukwila, WA 98188
Phone (206) 575-0300

Other names 1

  • La Belle Vie Cosmetic Surgery Center Doing business as

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
50D2256275La Belle Vie Cosmetic Surgery Centers16400 Southcenter Pkwy Ste 101, Tukwila, WA 98188Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

16400 Southcenter Pkwy
Ste 101
Tukwila, WA 98188
Phone (206) 575-0300

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548806400000",
    "number": "1902062706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16400 SOUTHCENTER PARKWAY",
            "address_2": "SUITE 101",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "98188",
            "telephone_number": "206-575-0300",
            "fax_number": "206-575-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16400 SOUTHCENTER PARKWAY",
            "address_2": "SUITE 101",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "98188",
            "telephone_number": "206-575-0300",
            "fax_number": "206-575-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL HEALTH MEDICAL INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-31",
        "last_updated": "2019-01-30",
        "status": "A",
        "authorized_official_last_name": "MANGUBAT",
        "authorized_official_first_name": "ELMER",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "206-575-0300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "WA",
            "license": "MD00032241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Belle Vie Cosmetic Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "La Belle Vie Cosmetic Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tukwila, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.