EC MOBILE MEDICAL CLINIC AND SPA LLC
NPI 1629833736
Nurse Practitioner - Family in Black Diamond, WA
About Ec Mobile Medical Clinic And Spa Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EC MOBILE MEDICAL CLINIC AND SPA LLC (NPI 1629833736) is a healthcare organization registered as a family in Black Diamond, Washington and active in the NPI registry since February 2024. The organization lists Ma Isabel Obligacion, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ec Mobile Medical Clinic And Spa Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Ec Mobile Medical Clinic And Spa LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Ec Mobile Medical Clinic And Spa LLC's NPI number?
The NPI number for Ec Mobile Medical Clinic And Spa LLC is 1629833736. It was assigned to this organization in the NPPES registry on February 19, 2024.
Where is Ec Mobile Medical Clinic And Spa LLC located?
Ec Mobile Medical Clinic And Spa LLC is located at 33043 SE Cottonwood St, Black Diamond, WA 98010. The listed phone number is (206) 419-9561.
What is Ec Mobile Medical Clinic And Spa LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Ec Mobile Medical Clinic And Spa LLC enrolled in Medicare?
Yes. Ec Mobile Medical Clinic And Spa LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ec Mobile Medical Clinic And Spa LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Ec Mobile Medical Clinic And Spa LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Ec Mobile Medical Clinic And Spa LLC accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Ec Mobile Medical Clinic And Spa LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Ec Mobile Medical Clinic And Spa LLC was last updated on February 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Ec Mobile Medical Clinic And Spa Llc · NPI 1629833736
Family organization in Black Diamond, Washington. Organization record, active in the CMS NPPES registry since February 19, 2024.
## Identity
- **NPI:** 1629833736 (Entity type: Organization)
- **Enumerated:** February 19, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Ma Isabel Obligacion, CEO
## Practice location
- **Address:** 33043 SE COTTONWOOD ST, Black Diamond, WA 98010-5070
- **Phone:** (206) 419-9561
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 19, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1629833736) · Data from the CMS NPPES public registry.