DR. JAMES ALFRED FASCIANO M.D. NPI 1467427443

NPI Information

NPI: 1467427443
Provider Name: DR. JAMES ALFRED FASCIANO, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: JAMESTOWN SKLALLAM TRIBE

PECOS Registration: Yes

Address:
3901 HOYT AVE
EVERETT, WA
ZIP 98201
Phone: (425) 339-5456
Get Directions

DR. James Alfred Fasciano, M.D. is a family medicine in Everett, WA with 31 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. James Alfred Fasciano, M.D. NPI is 1467427443. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3901 HOYT AVE
EVERETT, WA
ZIP 98201-918
Phone: (425) 339-5456
Fax: (425) 303-3091

The NPI 1467427443 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/22/2006 and was last updated on 6/10/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	207Q00000X	Family Medicine	12953	NEVADA	No
2	207Q00000X	Family Medicine	G84986	CALIFORNIA	No
3	207Q00000X	Family Medicine	MD60697846	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	12953	OTHER	NEVADA	NEVADA STATE LICENSE
2	2069525	MEDICAID	WASHINGTON
3	004716904	MEDICAID	NEVADA
4	G84986	OTHER	CALIFORNIA	CA STATE LICENSE
5	00G849860	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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