PHANDINH CLINIC
NPI 1225497969
Clinic/Center - Primary Care in Renton, WA
About Phandinh Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHANDINH CLINIC (NPI 1225497969) is a healthcare organization registered as a primary care in Renton, Washington and active in the NPI registry since February 2016. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Kimberly Khuu, Assistant Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Phandinh Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Phandinh Clinic, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 50D2262476
Phandinh Clinic · Renton, WAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Phandinh Clinic LLC's NPI number?
The NPI number for Phandinh Clinic LLC is 1225497969. It was assigned to this organization in the NPPES registry on February 22, 2016. The provider is doing business as Phandinh Clinic.
Where is Phandinh Clinic LLC located?
Phandinh Clinic LLC is located at 330 SW 43rd St Ste L, Renton, WA 98057. The listed phone number is (425) 243-2349.
What is Phandinh Clinic LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Phandinh Clinic LLC enrolled in Medicare?
Yes. Phandinh Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Phandinh Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Phandinh Clinic LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Phandinh Clinic LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 50D2262476) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Phandinh Clinic LLC accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Phandinh Clinic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Phandinh Clinic LLC was last updated on October 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Phandinh Clinic · NPI 1225497969
Primary Care organization in Renton, Washington. Organization record, active in the CMS NPPES registry since February 22, 2016.
## Identity
- **NPI:** 1225497969 (Entity type: Organization)
- **Enumerated:** February 22, 2016
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Legal business name:** Phandinh Clinic Llc
- **Organization subpart:** No
- **Authorized official:** Kimberly Khuu, ASSISTANT OFFICE MANAGER
## Practice location
- **Address:** 330 SW 43RD ST STE L, Renton, WA 98057-4900
- **Phone:** (425) 243-2349
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 19, 2023
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1225497969) · Data from the CMS NPPES public registry.