Pediatric Clinic

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

MD00031337 Issued in WA

Legal business name

PEDIATRIC CLINIC

Practice address

32124 1St Ave S Ste 100
Federal Way, WA 98003-5761

Phone

(253) 661-5939

Fax

(253) 661-5929

NPI assigned

Jun 13, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Mohinder Singh Badyal, M.D.NPI 1730247073

Title

Physician

Phone

(253) 661-5939

Specialties & licenses 1

Addresses

Other identifiers 1

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

CLIA laboratory certificates

Tax ID family

Federal Way Pediatric Assoc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mohinder Singh Badyal MD

  dba Federal Way Pediatric Associates

  • Pediatrics Physician
  • Federal Way, WA
  • NPI 1588099162
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mohinder Singh Badyal, M.D.

  • Pediatric Adolescent Medicine Physician
  • Federal Way, WA
  • NPI 1730247073
  Authorized official Same address or phone

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1952561805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32124 1ST AVENUE S STE 100",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "98003",
            "telephone_number": "253-661-5939",
            "fax_number": "253-661-5929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32124 1ST AVE S STE 100",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035761",
            "telephone_number": "253-661-5939",
            "fax_number": "253-661-5929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-13",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "BADYAL",
        "authorized_official_first_name": "MOHINDER",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "253-661-5939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "WA",
            "license": "MD00031337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7056443",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jill Elisa Paulson, COTA/L
• Tatyana Zonikovna Pavlyuk
• Annalyse L Payne
• PB Primary Care Clinic LLC
• Melissa Lynn Pederson, MSW
• Pediatric Specialty Practices, PLLC
• Melanie Pellizzon, LMFTA
• People of Color Against AIDS Network
• Kathryn Pepe, DDS
• Pepping Chiropractic

• Point of Service in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Point of Service in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.