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 | 261QE0800X | Clinic/Center | Endoscopy | | | 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 | 7527172 | OTHER | WASHINGTON | AETNA GROUP NUMBER |
| 2 | 1087543 | MEDICAID | WASHINGTON | |
| 3 | 110086779 | MEDICARE ID-TYPE UNSPECIFIED | WASHINGTON | RAILROAD MC SITTI MD |
| 4 | 8428732 | MEDICAID | WASHINGTON | |
| 5 | 6500TR | OTHER | WASHINGTON | ASURIS GROUP NUMBER |
| 6 | 490005040 | MEDICARE ID-TYPE UNSPECIFIED | WASHINGTON | RAILROAD MC FACILITY |
| 7 | AB23110 | MEDICARE ID-TYPE UNSPECIFIED | WASHINGTON | SITTI MD |
| 8 | 1017VA | OTHER | WASHINGTON | ASURIS VONG MD |
| 9 | P00290066 | MEDICARE ID-TYPE UNSPECIFIED | WASHINGTON | RAILROAD MC VONG MD |
| 10 | 7105778 | MEDICAID | WASHINGTON | |
| 11 | 7605381 | OTHER | WASHINGTON | AETNA VONG MD |
| 12 | H71904 | MEDICARE UPIN | WASHINGTON | |
| 13 | AB23108 | MEDICARE ID-TYPE UNSPECIFIED | WASHINGTON | GROUP NUMBER |
| 14 | 3860TR | OTHER | WASHINGTON | ASURIS SITTI MD |
| 15 | E87464 | MEDICARE UPIN | WASHINGTON | |
| 16 | 8855676 | MEDICARE ID-TYPE UNSPECIFIED | WASHINGTON | VONG MD |
| 17 | CH9005 | MEDICARE ID-TYPE UNSPECIFIED | WASHINGTON | RAILROAD MC GROUP NUMBER |
| 18 | 5980382 | OTHER | WASHINGTON | AETNA SITTI MD |
| 19 | 7107584 | MEDICAID | WASHINGTON | |
| 20 | AB17565 | MEDICARE ID-TYPE UNSPECIFIED | WASHINGTON | FACILITY NUMBER |
