LAKEWOOD PEDIATRIC ASSOCIATES, PLLC
NPI 1770694713
Pediatrics in Lakewood, WA

NPI Status: Active since August 31, 2006

Contact Information

7424 BRIDGEPORT WAY W
STE 103
LAKEWOOD, WA
ZIP 98499
Phone: (253) 581-2111
Fax: (253) 581-7479

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  • Organization
  • Pediatrics
  • CLIA Number: 50D2121125
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 04-04-2028

About LAKEWOOD PEDIATRIC ASSOCIATES, PLLC

This page provides the complete NPI Profile along with additional information for Lakewood Pediatric Associates, Pllc, a pediatrician established in Lakewood, Washington operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1770694713 assigned on August 2006. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Darryl Tan M.d. (Managing Partner)

NPI
1770694713
Provider Name
LAKEWOOD PEDIATRIC ASSOCIATES, PLLC
Entity Type
Organization
Location Address
7424 BRIDGEPORT WAY W STE 103 LAKEWOOD, WA 98499
Location Phone
(253) 581-2111
Location Fax
(253) 581-7479
Mailing Address
7424 BRIDGEPORT WAY W STE 103 LAKEWOOD, WA 98499
Mailing Phone
(253) 581-2111
Mailing Fax
(253) 581-7479
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-31-2006
Last Update Date
04-26-2017
Code Navigator

A pediatrician like Lakewood Pediatric Associates, Pllc is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DARRYL TAN M.D.

Authorized Official Title
MANAGING PARTNER
Authorized Official Phone
(253) 581-2111

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
7093628MEDICAID (05)WA 
0187382OTHER (01)WAPRACTICE L&I NUMBER
8925744OTHER (01)WAPRACTICE CRIME VICTIMS #

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
50D2121125
Facility Type
Community Clinic
Certificate Effective Date
October 31, 2016
Certificate Expiration Date
April 04, 2028
Laboratory Director
JEFFREY SMITH
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Lakewood Pediatric Associates, Pllc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

Reviews for LAKEWOOD PEDIATRIC ASSOCIATES, PLLC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1770694713, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
0
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
9
Unchanged
Pos 7
4
Doubled → 8
Pos 8
7
Unchanged
Pos 9
1
Doubled → 2
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 6 → 12 → 3 4 → 8 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 4 + 0 + 1 + 2 + 9 + 8 + 7 + 2 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1770694713.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Counselor (Mental Health)
7424 BRIDGEPORT WAY W, SUITE 309
LAKEWOOD, WA 98499
Thoracic Surgery (Cardiothoracic Vascular Surgery)
7424 BRIDGEPORT WAY W, SUITE 307
LAKEWOOD, WA 98499
Nurse Practitioner
7424 BRIDGEPORT WAY W, SUITE 301
LAKEWOOD, WA 98499
Family Medicine (Addiction Medicine)
7424 BRIDGEPORT WAY W, SUITE 301
LAKEWOOD, WA 98499
Specialist
7424 BRIDGEPORT WAY W, #305
LAKEWOOD, WA 98499
Pediatrics
7424 BRIDGEPORT WAY W, SUITE 103
LAKEWOOD, WA 98499
Pediatrics
7424 BRIDGEPORT WAY W, SUITE 203
LAKEWOOD, WA 98499
Pediatrics
7424 BRIDGEPORT WAY W, SUITE 203
LAKEWOOD, WA 98499
Pediatrics
7424 BRIDGEPORT WAY W, SUITE 203
LAKEWOOD, WA 98499
Pediatrics
7424 BRIDGEPORT WAY W, SUITE 203
LAKEWOOD, WA 98499
Counselor (Mental Health)
7424 BRIDGEPORT WAY W, SUITE 309
LAKEWOOD, WA 98499
Family Medicine (Addiction Medicine)
7424 BRIDGEPORT WAY W, SUITE 301
LAKEWOOD, WA 98499
Pediatrics (Pediatric Endocrinology)
7424 BRIDGEPORT WAY W, SUITE 307
LAKEWOOD, WA 98499
Clinical Medical Laboratory
7424 BRIDGEPORT WAY W, SUITE 201
LAKEWOOD, WA 98499
Clinic/Center (Federally Qualified Health Center (FQHC))
7424 BRIDGEPORT WAY W
LAKEWOOD, WA 98499
Dentist
7424 BRIDGEPORT WAY W, SUITE 311
LAKEWOOD, WA 98499
Health Educator
7424 BRIDGEPORT WAY W
LAKEWOOD, WA 98499
Specialist
7424 BRIDGEPORT WAY W, #305
LAKEWOOD, WA 98499
Counselor
7424 BRIDGEPORT WAY W
LAKEWOOD, WA 98499
Nurse Practitioner (Family)
7424 BRIDGEPORT WAY W
LAKEWOOD, WA 98499

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770694713, enumerated as an "organization" on August 31, 2006.

The provider is located at 7424 BRIDGEPORT WAY W STE 103 LAKEWOOD, WA 98499 and the phone number is (253) 581-2111.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.