1. Home
  2. Directory
  3. Washington
  4. Moses Lake
  5. Specialist
  6. NPI Profile

SICA FAMILY DERMATOLOGY
NPI 1689951790
Specialist in Moses Lake, WA

Active since November 03, 2011CLIA 50D2031752 · Certificate of Compliance
1550 S PIONEER WAY, SUITE 200, MOSES LAKE, WA 98837(509) 765-7462 Get Directions Write a Review

NPPES record last updated: November 3, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sica Family Dermatology NPPES

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

SICA FAMILY DERMATOLOGY (NPI 1689951790) is a healthcare organization registered as a specialist in Moses Lake, Washington and active in the NPI registry since November 2011. The organization holds a CLIA Certificate of Compliance certificate valid through April 4, 2028 and lists Richard M Sica, Owner, as its authorized official.

NPPES Registry Identity

NPI1689951790
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSICA FAMILY DERMATOLOGY
Location Address1550 S PIONEER WAY, SUITE 200Moses Lake, WA 98837-4613
Mailing Address1550 S Pioneer Way, Suite 200Moses Lake, WA 98837-4613 · (509) 765-7462
Phone(509) 765-7462
Organization SubpartNo
Authorized OfficialRichard M SicaOwner · (509) 765-7462
Enumeration DateNovember 3, 2011
✔ NPI 1689951790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in WA · MD39320
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1550 S PIONEER WAY, Moses Lake, WA 98837
Open in Google Maps ↗

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

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 of Compliance 50D2031752

Sica Family Dermatology · Moses Lake, WA
Active · expires Apr 4, 2028
CLIA Number50D2031752
Laboratory TypePhysician Office
Certificate Effective DateOctober 26, 2011
Certificate Expiration DateApril 4, 2028
Laboratory DirectorRichard M. Sica
Laboratory Phone(509) 765-7462
Laboratory LocationSica Family Dermatology827 E Colonial Ave, Moses Lake, WA 98837
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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.

MR. ETHAN D WASHBURN PA-C
Physician Assistant
1550 S PIONEER WAY
MOSES LAKE, WA 98837
Grant County (509) 793-9770
JORDAN SMITH D.O.
Surgery
1550 S PIONEER WAY
MOSES LAKE, WA 98837
Grant County (509) 793-9792
DR. PHILLIP CARRON M.D.
Family Medicine
1550 S PIONEER WAY
MOSES LAKE, WA 98837
Grant County (509) 793-9780
JOSEPH HANCOCK PAC
Physician Assistant
1550 S PIONEER WAY
MOSES LAKE, WA 98837
Grant County (509) 793-9789
PENNY TALCOTT MAYO RN, CDCES
Registered Nurse (Diabetes Educator)
1550 S PIONEER WAY
MOSES LAKE, WA 98837
Grant County (509) 793-9780
MITCHELL DAVID VALENTE PA-C
Physician Assistant
1550 S PIONEER WAY
MOSES LAKE, WA 98837
Grant County (509) 793-9790
ELIZABETH BONADIES CNM
Advanced Practice Midwife
1550 S PIONEER WAY
MOSES LAKE, WA 98837
Grant County (509) 793-9786
DR. KATI ELIZABETH HUGHES DNP, NP-C
Nurse Practitioner (Psychiatric/Mental Health)
1550 S PIONEER WAY
MOSES LAKE, WA 98837
Grant County (509) 793-9780

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 Sica Family Dermatology's NPI number?

The NPI number for Sica Family Dermatology is 1689951790. It was assigned to this organization in the NPPES registry on November 3, 2011.

Where is Sica Family Dermatology located?

Sica Family Dermatology is located at 1550 S Pioneer Way Suite 200, Moses Lake, WA 98837. The listed phone number is (509) 765-7462.

What is Sica Family Dermatology's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Sica Family Dermatology hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 50D2031752) 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 Sica Family Dermatology accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Sica Family Dermatology 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 Sica Family Dermatology was last updated on November 3, 2011. 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.