DEER PARK FAMILY CARE CLINIC
NPI 1548294150
Family Medicine in Deer Park, WA
About Deer Park Family Care Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEER PARK FAMILY CARE CLINIC (NPI 1548294150) is a healthcare organization registered as a family medicine in Deer Park, Washington and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Edgar A Figueroa, Owner/practicioner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 4
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Deer Park Family Care Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Deer Park Family Care Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (6)
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 50D2292607
Deer Park Family Care Clinic · Deer Park, 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 Deer Park Family Care Clinic Ps's NPI number?
The NPI number for Deer Park Family Care Clinic Ps is 1548294150. It was assigned to this organization in the NPPES registry on July 10, 2006. The provider is doing business as Deer Park Family Care Clinic.
Where is Deer Park Family Care Clinic Ps located?
Deer Park Family Care Clinic Ps is located at 905 E D St, Deer Park, WA 99006. The listed phone number is (509) 276-5005.
What is Deer Park Family Care Clinic Ps's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Deer Park Family Care Clinic Ps enrolled in Medicare?
Yes. Deer Park Family Care Clinic Ps is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Deer Park Family Care Clinic Ps?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Deer Park Family Care Clinic Ps. 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. The largest specialties are Family Practice (4) and Nurse Practitioner (2). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Deer Park Family Care Clinic Ps hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 50D2292607) 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 Deer Park Family Care Clinic Ps was last updated on August 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Deer Park Family Care Clinic · NPI 1548294150
Family Medicine organization in Deer Park, Washington. Organization record, active in the CMS NPPES registry since July 10, 2006.
## Identity
- **NPI:** 1548294150 (Entity type: Organization)
- **Enumerated:** July 10, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Deer Park Family Care Clinic Ps
- **Organization subpart:** No
- **Authorized official:** Edgar Figueroa, OWNER/PRACTICIONER
## Practice location
- **Address:** 905 E D ST, Deer Park, WA 99006
- **Phone:** (509) 276-5005 · **Fax:** (509) 276-6785
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (4), Nurse Practitioner (2); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 1, 2012
- **Other identifiers:** Medicaid 7085640 (WA); Medicare PIN GAB06076 (WA); Medicare OSCAR/certification 503885 (WA); and 1 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1548294150) · Data from the CMS NPPES public registry.