YAKIMA PRIMARY CARE PLLC NPI 1902082340

NPI Information

  • NPI: 1902082340
  • Provider Name: YAKIMA PRIMARY CARE, PLLC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 1008 S. 38TH AVENUE
    YAKIMA, WA
    ZIP 98902
  • Phone: (509) 249-9045

Map and Directions

Get Directions

NPI Details

YAKIMA PRIMARY CARE, PLLC is a general practice in Yakima, WA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee YAKIMA PRIMARY CARE, PLLC NPI is 1902082340. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1008 S. 38TH AVENUE
YAKIMA, WA
ZIP 98902-000
Phone: (509) 249-9045
Fax: (509) 249-5041

The provider's authorized official is Jim W Simmons .
The authorized official title is Director Of Operations and has the following contact phone number (509) 248-7849.

The enumeration date for this NPI number is 1/16/2008 and was last updated on 1/6/2010.

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
1208D00000XGeneral PracticeMD00020754WASHINGTONYes

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
17057060MEDICAIDWASHINGTON
2GAB33468MEDICARE PINWASHINGTON
3CK5633MEDICARE PINWASHINGTON
47055643MEDICAIDWASHINGTON
57056898MEDICAIDWASHINGTON
67056930MEDICAIDWASHINGTON
77057045MEDICAIDWASHINGTON

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: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI