DEER PARK FAMILY CARE CLINIC
NPI 1548294150
Family Medicine in Deer Park, WA

Active since July 10, 2006CLIA 50D2292607 · Waiver
905 E D ST, DEER PARK, WA 99006(509) 276-5005(509) 276-6785 Get Directions Write a Review

NPPES record last updated: August 1, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1548294150
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDEER PARK FAMILY CARE CLINIC PS
Location Address905 E D STDeer Park, WA 99006
Mailing AddressPo Box 1529Deer Park, WA 99006-1529 · (509) 276-5005 · Fax (509) 276-6785
Fax(509) 276-6785
Organization SubpartNo
Authorized OfficialEdgar A FigueroaOwner/practicioner · (509) 276-5005
Enumeration DateJuly 10, 2006
Last NPPES UpdateAugust 1, 2012
NPI 1548294150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X
905 E D ST, Deer Park, WA 99006

Other Names 1

Doing Business AsDeer Park Family Care Clinic

Other Identifiers 4

Medicaid7085640WA
Medicare PINGAB06076WA
Medicare OSCAR/certification503885WA
Medicaid7118326WA

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, WA
Active · expires Apr 4, 2028
CLIA Number50D2292607
Laboratory TypePhysician Office
Certificate Effective DateOctober 26, 2023
Certificate Expiration DateApril 4, 2028
Laboratory DirectorJonathan Wilson
Laboratory Phone(509) 276-5005
Laboratory LocationDeer Park Family Care Clinic905 E D St, Deer Park, WA 99006
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

Clinic/Center (Radiology)
905 E D ST
DEER PARK, WA 99006
Physician Assistant
905 E D ST
DEER PARK, WA 99006
Durable Medical Equipment & Medical Supplies
905 E D ST
DEER PARK, WA 99006
Nurse Practitioner (Family)
905 E D ST
DEER PARK, WA 99006
Clinic/Center (Rural Health)
905 E D ST
DEER PARK, WA 99006
Nurse Practitioner
905 E D ST
DEER PARK, WA 99006
Nurse Practitioner (Primary Care)
905 E D ST
DEER PARK, WA 99006
Physician Assistant
905 E D ST
DEER PARK, WA 99006

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 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.

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.