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YAZDI PRIMARY HEALTHCARE PLLC
NPI 1629491360
Nurse Practitioner - Family in Lakewood, WA

Active since January 31, 2014
4901 108TH ST SW, LAKEWOOD, WA 98499(253) 589-6484(253) 984-1079 Get Directions Write a Review

NPPES record last updated: October 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Yazdi Primary Healthcare Pllc NPPES

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

YAZDI PRIMARY HEALTHCARE PLLC (NPI 1629491360) is a healthcare organization registered as a family in Lakewood, Washington and active in the NPI registry since January 2014. The organization lists Maryam Mostaghni Yazdi, Member, as its authorized official.

NPPES Registry Identity

NPI1629491360
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameYAZDI PRIMARY HEALTHCARE PLLC
Location Address4901 108TH ST SWLakewood, WA 98499-3724
Mailing AddressPo Box 98886Lakewood, WA 98496-8886 · (253) 589-6484 · Fax (253) 984-1079
Phone(253) 589-6484
Fax(253) 984-1079
Organization SubpartNo
Authorized OfficialMaryam Mostaghni YazdiMember · (360) 981-9705
Enumeration DateJanuary 31, 2014
Last NPPES UpdateOctober 21, 2021
NPPES CertifiedOctober 21, 2021
✔ NPI 1629491360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WA · AP60308453
4901 108TH ST SW, Lakewood, WA 98499
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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

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.

ROBERT LOUIS HERMANN MD
Student in an Organized Health Care Education/Training Program
4901 108TH ST SW
LAKEWOOD, WA 98499
Pierce County (253) 589-6573
WASHINGTON PRACTICE MANAGEMENT, LLC
Internal Medicine
4901 108TH ST SW
LAKEWOOD, WA 98499
Pierce County (253) 984-7247
GEORGIA ANN MOHLER BSN ARNP
Nurse Practitioner
4901 108TH ST SW
LAKEWOOD, WA 98499
Pierce County (253) 589-6484
XAVIER MEDICAL SERVICES LLC
Nurse Practitioner (Family)
4901 108TH ST SW
LAKEWOOD, WA 98499
Pierce County (253) 584-3577
LUIS EYMARD JAVIER
Nurse Practitioner (Family)
4901 108TH ST SW
LAKEWOOD, WA 98499
Pierce County (425) 374-2508
SPECIALTY WOUND AND FOOT CARE
Nurse Practitioner (Gerontology)
4901 108TH ST SW
LAKEWOOD, WA 98499
Pierce County (253) 584-3577
ELLEN MARTIN ARNP PLLC
Nurse Practitioner (Family)
4901 108TH ST SW
LAKEWOOD, WA 98499
Pierce County (253) 589-6484
VICTOR SOBOLEWSKI III DO
Family Medicine
4901 108TH ST SW
LAKEWOOD, WA 98499
Pierce County (253) 589-6484

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 Yazdi Primary Healthcare PLLC's NPI number?

The NPI number for Yazdi Primary Healthcare PLLC is 1629491360. It was assigned to this organization in the NPPES registry on January 31, 2014.

Where is Yazdi Primary Healthcare PLLC located?

Yazdi Primary Healthcare PLLC is located at 4901 108th St SW, Lakewood, WA 98499. The listed phone number is (253) 589-6484.

What is Yazdi Primary Healthcare PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Yazdi Primary Healthcare PLLC was last updated on October 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.