Individual provider Active NPI

Yareli Aguirre

  • Physician Assistant
  • Tacoma, WA
National Provider Identifier
1922529403
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA60903021 Issued in WA
Practice address
1148 Broadway Ste 100
Tacoma, WA 98402-3518
Phone
(253) 722-1539
Fax
(206) 616-3889
NPI assigned
Jul 5, 2017
Last updated
Oct 24, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA60903021 WA Primary

Addresses

Primary practice location

1148 Broadway Ste 100
Tacoma, WA 98402-3518

Mailing address

4311 11TH Ave NE Ste 200
Seattle, WA 98105-6367
Phone (206) 616-4001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190521000738 WA Practitioner - Physician Assistant 8224371992 Reassigns benefits to 1 organization
I20240501003890 CA Practitioner - Physician Assistant 8224371992 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Washington School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Native American Mental Health Services CorporationGroup PAC ID 5395072490, 62 clinicians
Community Health CareGroup PAC ID 1850201559, 72 clinicians

Practice addresses (Care Compare)

1035 Cass St
Monterey, CA 93940-4517
Phone (831) 886-0030

11225 Pacific Ave S
Tacoma, WA 98444-5525
Phone (253) 284-2203

1202 Martin Luther King Jr Way
Tacoma, WA 98405-3926
Phone (253) 441-4742

1742 Oregon St
Redding, CA 96001-1717
Phone (530) 646-7269

450 Lincoln Ave
Suite 101
Salinas, CA 93901-2652
Phone (831) 269-5988

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
63385CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Care CurrentSince Oct 15, 2018 Accepting new patients
Community Health Care CurrentSince Oct 15, 2018 Accepting new patients

Locations

134 188th St S
Spanaway, WA 98387
Phone (253) 847-2304

1148 Broadway
Ste 100
Tacoma, WA 98402
Phone (253) 268-1170

1202 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 441-4742

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/HEDCAA
  • Direct secure messaging: yareli.aguirrepac.p1@direct.chc-tacoma.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1499212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1922529403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4311 11TH AVE NE STE 200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981056367",
            "telephone_number": "206-616-4001",
            "fax_number": "206-616-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1148 BROADWAY STE 100",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984023518",
            "telephone_number": "253-722-1539",
            "fax_number": "206-616-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUIRRE",
        "first_name": "YARELI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-05",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60903021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.