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TOTEM LAKE
NPI 1396819041
Pediatrics in Kirkland, WA

Active since November 17, 2006CLIA 50D2300525 · Waiver
13030 121ST WAY NE, SUITE #100, KIRKLAND, WA 98034(425) 814-5170 Get Directions Write a Review

NPPES record last updated: October 9, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 9, 2020, Aug 22, 2020 (2 updates tracked since 2020).

About Totem Lake NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TOTEM LAKE (NPI 1396819041) is a healthcare organization registered as a pediatrics in Kirkland, Washington and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Brett Vandenberg, Ceo, as its authorized official.

NPPES Registry Identity

NPI1396819041
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePEDIATRIC ASSOCIATES, INC., P.S. DBA ALLEGRO PEDIATRICS
Location Address13030 121ST WAY NE, SUITE #100Kirkland, WA 98034
Mailing Address2475 140th Ave. Ne, Building CBellevue, WA 98005 · (425) 460-5601 · Fax (425) 460-5606
Phone(425) 814-5170
Organization SubpartNo
Authorized OfficialBrett VandenbergCeo · (425) 460-5643
Enumeration DateNovember 17, 2006
Last NPPES UpdateOctober 9, 20202 updates tracked since enumeration
NPPES CertifiedOctober 9, 2020
✔ NPI 1396819041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
13030 121ST WAY NE, Kirkland, WA 98034
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Other Names 1

Doing Business AsTotem Lake

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 50D2300525

Totem Lake Adult Family Home LLC · Kirkland, WA
Active · expires Apr 4, 2028
CLIA Number50D2300525
Laboratory TypeCommunity Clinic
Certificate Effective DateMarch 12, 2024
Certificate Expiration DateApril 4, 2028
Laboratory DirectorLoredana M. Danciu
Laboratory Phone(425) 821-9252
Laboratory LocationTotem Lake Adult Family Home LLC12734 NE 132nd Pl, Kirkland, WA 98034
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PILIN CHANG MD
Pediatrics
13030 121ST WAY NE, SUITE #100
KIRKLAND, WA 98034
King County (425) 814-5170
DR. TIM A CLANTON DC
Chiropractor
13030 121ST WAY NE, SUITE 102
KIRKLAND, WA 98034
King County (425) 814-2800
DR. HIROKO DAVID MD
Pediatrics
13030 121ST WAY NE, SUITE #100
KIRKLAND, WA 98034
King County (425) 814-5170
ROSSANA CECILIA PALOMINO MD
Pediatrics
13030 121ST WAY NE, SUITE #100
KIRKLAND, WA 98034
King County (425) 814-5170
DR. VINETTE ZABRISKIE M.D.
Obstetrics & Gynecology
13030 121ST WAY NE, SUITE 202
KIRKLAND, WA 98034
King County (425) 825-7898
PAMILA R KEECH MD
Specialist
13030 121ST WAY NE, SUITE 102
KIRKLAND, WA 98034
King County (425) 899-5111
VINETTE ZABRISKIE MD PLLC
Obstetrics & Gynecology (Gynecology)
13030 121ST WAY NE, SUITE 202
KIRKLAND, WA 98034
King County (425) 825-7898
CAROL L BAER MD
Pediatrics
13030 121ST WAY NE, SUITE #100
KIRKLAND, WA 98034
King County (425) 814-5170

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 Pediatric Associates, Inc., P.S. Dba Allegro Pediatrics's NPI number?

The NPI number for Pediatric Associates, Inc., P.S. Dba Allegro Pediatrics is 1396819041. It was assigned to this organization in the NPPES registry on November 17, 2006. The provider is doing business as Totem Lake.

Where is Pediatric Associates, Inc., P.S. Dba Allegro Pediatrics located?

Pediatric Associates, Inc., P.S. Dba Allegro Pediatrics is located at 13030 121st Way NE Suite #100, Kirkland, WA 98034. The listed phone number is (425) 814-5170.

What is Pediatric Associates, Inc., P.S. Dba Allegro Pediatrics's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Pediatric Associates, Inc., P.S. Dba Allegro Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2300525) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pediatric Associates, Inc., P.S. Dba Allegro Pediatrics was last updated on October 9, 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.