CORNERSTONE PRIMARY CARE PLLC NPI 1841681707

NPI Information

  • NPI: 1841681707
  • Provider Name: CORNERSTONE PRIMARY CARE, PLLC
  • Classification: Clinic/Center - 261QH0100X
  • Specialization: Health Service
  • Entity Type: Organization
  • CLIA Number: 50D0630803
  • Address: 17900 TALBOT RD S STE 102
    RENTON, WA
    ZIP 98055
  • Phone: (425) 255-9310

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NPI Details

CORNERSTONE PRIMARY CARE, PLLC is a health service clinic center in Renton, WA. CORNERSTONE PRIMARY CARE, PLLC NPI is 1841681707. The provider is registered as an organization entity type.

The provider's business location address is:

17900 TALBOT RD S STE 102
RENTON, WA
ZIP 98055-212
Phone: (425) 255-9310

The provider's authorized official is John Mayeno .
The authorized official title is Member and has the following contact phone number (425) 255-9310.

The CLIA number assigned to this NPI record is 50D0630803 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/13/2015 and was last updated on 12/30/2015.

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
1261QH0100XClinic/CenterHealth ServiceMD 00023599WASHINGTONYes

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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