MR. PETER YU CHANG PENG PA-C NPI 1932546843

NPI Information

NPI: 1932546843
Provider Name: MR. PETER YU CHANG PENG, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
1200 112TH AVE NE STE C210
BELLEVUE, WA
ZIP 98004
Phone: (425) 999-3580
Get Directions

MR. Peter Yu Chang Peng, PA-C is a surgical physician assistant in Bellevue, WA with 12 years of experience. MR. Peter Yu Chang Peng, PA-C NPI is 1932546843. 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:

1200 112TH AVE NE STE C210
BELLEVUE, WA
ZIP 98004-740
Phone: (425) 999-3580
Fax: (425) 999-3122

The NPI 1932546843 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 5/31/2013 and was last updated on 1/30/2023.

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	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA60368956	WASHINGTON	No
2	363AS0400X	Physician Assistant	Surgical	PA60368956	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	PA60368956	OTHER	WASHINGTON	LICENSE

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: 4/28/2024

NPI Synchronization or Removal

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