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SENIOR DOC WA PC
NPI 1588430367
Family Medicine in Marysville, WA

Active since December 01, 2023
912 STATE AVE, MARYSVILLE, WA 98270(855) 434-7763(949) 281-5550 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Senior Doc Wa Pc NPPES

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

SENIOR DOC WA PC (NPI 1588430367) is a healthcare organization registered as a family medicine in Marysville, Washington and active in the NPI registry since December 2023. The organization lists Angelica Soto, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1588430367
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSENIOR DOC WA PC
Location Address912 STATE AVEMarysville, WA 98270-4239
Mailing Address5 Hutton Centre Dr Ste 950Santa Ana, CA 92707-8744 · (855) 434-7763 · Fax (949) 281-5550
Phone(855) 434-7763
Fax(949) 281-5550
Organization SubpartNo
Authorized OfficialAngelica SotoCredentialing Specialist · (714) 702-5145
Enumeration DateDecember 1, 2023
Last NPPES UpdateSeptember 11, 2025
NPPES CertifiedSeptember 11, 2025
✔ NPI 1588430367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
912 STATE AVE, Marysville, WA 98270
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Senior Doc Wa PC's NPI number?

The NPI number for Senior Doc Wa PC is 1588430367. It was assigned to this organization in the NPPES registry on December 1, 2023.

Where is Senior Doc Wa PC located?

Senior Doc Wa PC is located at 912 State Ave, Marysville, WA 98270. The listed phone number is (855) 434-7763.

What is Senior Doc Wa PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Senior Doc Wa PC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.