Federal Way Primary Care, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD00040660 Issued in WA

Legal business name

FEDERAL WAY PRIMARY CARE, LLC

Practice address

34617 11TH Place S
Suite 202
Federal Way, WA 98003-8706

Phone

(253) 838-4500

NPI assigned

Sep 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Estrelino D Velasco, M.D.NPI 1407889660

Title

Member

Phone

25358384500

Specialties & licenses 1

Addresses

Other names 1

• Estrelino Velasco, M.D. Doing business as

Practitioners 1

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

• Estrelino D Velasco Jr., MD

  • Family Medicine Physician
  • Milton, WA
  • NPI 1407889660
  NPD (past) Authorized official

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1982898730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34617 11TH PLACE S.",
            "address_2": "SUITE 202",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038706",
            "telephone_number": "253-838-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34617 11TH PLACE S",
            "address_2": "SUITE 202",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038706",
            "telephone_number": "253-838-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEDERAL WAY PRIMARY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-04",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "VELASCO",
        "authorized_official_first_name": "ESTRELINO",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "25358384500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00040660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Estrelino Velasco, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Federal Way Medical Equipment Inc
• Federal Way Medical Investors, LLC
• Federal Way Muscular Therapy
• Federal Way Naturopathy Inc
• Federal Way Oral Surgery PC
• Federal Way Psychology Clinic
• Federal Way School District
• Federal Way Vision Center
• Federal Way Womens Health Care
• Lavonne E. Felton, P.A.

• Specialist in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.