S.F. MEDICAL CENTER NPI 1194735530

NPI Information

  • NPI: 1194735530
  • Provider Name: S.F. MEDICAL CENTER
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Organization
  • Address: 144 169TH ST S STE A
    SPANAWAY, WA
    ZIP 98387
  • Phone: (253) 536-2824

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NPI Details

S.F. MEDICAL CENTER is a medical physician assistant in Spanaway, WA. S.F. MEDICAL CENTER NPI is 1194735530. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

144 169TH ST S STE A
SPANAWAY, WA
ZIP 98387-242
Phone: (253) 536-2824
Fax: (253) 536-3070

The provider's authorized official is Wayne W Kim .
The authorized official title is Medical Director/owner and has the following contact phone number (253) 536-2824.

The enumeration date for this NPI number is 8/8/2006 and was last updated on 9/11/2025.

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
1207Q00000XFamily MedicineNo
2207QA0401XFamily MedicineAddiction MedicineNo
3207R00000XInternal MedicineNo
4207RA0401XInternal MedicineAddiction MedicineNo
5363LF0000XNurse PractitionerFamilyNo
6363LP2300XNurse PractitionerPrimary CareNo
7363A00000XPhysician AssistantNo
8363AM0700XPhysician AssistantMedicalYes

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: 11/21/2025

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