Kusuma Latha Sivalanka, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA61137144 Issued in WA

Practice address

1400 S Jackson St
Seattle, WA 98144-2020

Phone

(206) 568-8577

Fax

(206) 568-3385

NPI assigned

Sep 11, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1952950958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S JACKSON ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981442020",
            "telephone_number": "206-568-8577",
            "fax_number": "206-568-3385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S JACKSON ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981442020",
            "telephone_number": "206-568-8577",
            "fax_number": "206-568-3385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIVALANKA",
        "first_name": "KUSUMA",
        "middle_name": "LATHA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-11",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA61137144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952950958",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter Siu
• Royal Siu, PHARMD
• Tiffany Siu, PT, DPT
• Sivad Primary Care and Associates P.C.
• Shanti Kamala Sivadas, LMP
• Gouri Kalathinkal Sivarajan
• Murali Sivarajan, M.D.
• Janarthan Sivaratnam, PHD
• Cheyenne Mechelle Siverly, DPT
• Derrick Siverson

• Physician Assistant in Seattle, WA
• Providers in Seattle, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.