SOUTHGATE MEDICAL CLINIC, P.S.
NPI 1285751990
Clinic/Center - Primary Care in Seattle, WA
About Southgate Medical Clinic, P.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHGATE MEDICAL CLINIC, P.S. (NPI 1285751990) is a healthcare organization registered as a primary care in Seattle, Washington and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Robert Alfiler Velasco, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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 50D0934866
Southgate Medical Clinic Ps · Seattle, WAOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SEATTLE, WA 98118
SEATTLE, WA 98118
Frequently 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 Southgate Medical Clinic, P.S.'s NPI number?
The NPI number for Southgate Medical Clinic, P.S. is 1285751990. It was assigned to this organization in the NPPES registry on March 26, 2007.
Where is Southgate Medical Clinic, P.S. located?
Southgate Medical Clinic, P.S. is located at 6044 Martin Luther King Jr Way S Ste 104, Seattle, WA 98118. The listed phone number is (206) 723-9853.
What is Southgate Medical Clinic, P.S.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does Southgate Medical Clinic, P.S. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 50D0934866) 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 Southgate Medical Clinic, P.S. accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Southgate Medical Clinic, P.S. 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 Southgate Medical Clinic, P.S. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
