SOUTHWEST PEDIATRICS
NPI 1659582385
Pediatrics in Seattle, WA

Q: What is Southwest Pediatrics's NPI number?

The NPI number for Southwest Pediatrics is 1659582385. It was assigned to this organization in the NPPES registry on May 24, 2007.

Q: What is Southwest Pediatrics's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since May 24, 2007CLIA 50D0633322 · Microscopy

14212 AMBAUM BLVD SW, SOUTHWEST PEDIATRICS #202, SEATTLE, WA 98166(206) 243-4811(206) 243-2822 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Southwest Pediatrics NPPES

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

SOUTHWEST PEDIATRICS (NPI 1659582385) is a healthcare organization registered as a pediatrics in Seattle, Washington and active in the NPI registry since May 2007. The organization holds a CLIA Microscopy certificate valid through April 4, 2028 and lists Kenneth H Dong, Vice President, as its authorized official.

NPPES Registry Identity

NPI1659582385

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameSOUTHWEST PEDIATRICS

Location Address14212 AMBAUM BLVD SW, SOUTHWEST PEDIATRICS #202Seattle, WA 98166-1437

Mailing Address14212 Ambaum Blvd Sw, #202Seattle, WA 98166-1437 · (206) 243-4811 · Fax (206) 243-2822

Phone(206) 243-4811

Fax(206) 243-2822

Organization SubpartNo

Authorized OfficialKenneth H DongVice President · (206) 243-4811

Enumeration DateMay 24, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1659582385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

14212 AMBAUM BLVD SW, Seattle, WA 98166

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

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 for Provider-Performed Microscopy Procedures (PPMP) 50D0633322

Southwest Pediatrics · Seattle, WA

Active · expires Apr 4, 2028

CLIA Number50D0633322

Laboratory TypePhysician Office

Certificate Effective DateJuly 26, 2000

Certificate Expiration DateApril 4, 2028

Laboratory DirectorTheresa Hineline

Laboratory Phone(206) 243-4811

Laboratory LocationSouthwest Pediatrics14212 Ambaum Blvd SW Ste 202, Seattle, WA 98166

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 11

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

DR. JEFFREY LEE DDS

Dentist (General Practice)

14212 AMBAUM BLVD SW, STE #203
BURIEN, WA 98166

King County (206) 242-2466

DAVIS DENTAL HEALTH

Dentist

14212 AMBAUM BLVD SW, SUITE 100
BURIEN, WA 98166

King County (206) 762-8433

CYNTHIA L. TAYLOR, MD

Family Medicine

14212 AMBAUM BLVD SW, SUITE 106
BURIEN, WA 98166

King County (206) 244-5520

ROGER K LARSON MD PS

Family Medicine

14212 AMBAUM BLVD SW, SUITE 201
BURIEN, WA 98166

King County (206) 244-5477

MR. WAYNE C. DEES PSY.D

Clinical Neuropsychologist

14212 AMBAUM BLVD SW, SUITE 103
BURIEN, WA 98166

King County (206) 217-4530

VICKI L FOX ARNP

Nurse Practitioner (Community Health)

14212 AMBAUM BLVD SW, 106
BURIEN, WA 98166

King County (206) 244-5520

WAYNE C DEES PSY.D P.S.

Community/Behavioral Health

14212 AMBAUM BLVD SW, SUITE 103
BURIEN, WA 98166

King County (206) 217-4530

ALLIED FAMILY DENTAL

Dentist (General Practice)

14212 AMBAUM BLVD SW, SUITE 302
BURIEN, WA 98166

King County (206) 244-7992

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 Southwest Pediatrics's NPI number?

The NPI number for Southwest Pediatrics is 1659582385. It was assigned to this organization in the NPPES registry on May 24, 2007.

Where is Southwest Pediatrics located?

Southwest Pediatrics is located at 14212 Ambaum Blvd SW Southwest Pediatrics #202, Seattle, WA 98166. The listed phone number is (206) 243-4811.

What is Southwest Pediatrics's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Southwest Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 50D0633322) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southwest Pediatrics accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Southwest Pediatrics 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 Southwest Pediatrics was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.