MOLINA MEDICAL GROUP - WASHINGTON
NPI 1891000725
Family Medicine in Everett, WA

Active since August 16, 2010
15 SW EVERETT MALL WAY, SUITE A, EVERETT, WA 98208(562) 499-6191(562) 499-6171 Get Directions Write a Review

NPPES record last updated: September 27, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Molina Medical Group - Washington NPPES

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

MOLINA MEDICAL GROUP - WASHINGTON (NPI 1891000725) is a healthcare organization registered as a family medicine in Everett, Washington and active in the NPI registry since August 2010. The organization lists Gloria Calderon, Vp, Clinic Operations, as its authorized official.

NPPES Registry Identity

NPI1891000725
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMOLINA HEALTHCARE OF WASHINGTON, INC
Location Address15 SW EVERETT MALL WAY, SUITE AEverett, WA 98208-2777
Mailing Address200 Oceangate, Suite 100Long Beach, CA 90802-4317 · (562) 499-6191 · Fax (562) 499-6171
Fax(562) 499-6171
Organization SubpartNo
Authorized OfficialGloria CalderonVp, Clinic Operations · (562) 499-6191
Enumeration DateAugust 16, 2010
Last NPPES UpdateSeptember 27, 2011
NPI 1891000725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPediatricsTaxonomy 208000000X
15 SW EVERETT MALL WAY, Everett, WA 98208

Other Names 1

Doing Business AsMolina Medical Group - Washington

Other Identifiers 2

Medicare PING8890147WA
Medicaid2010594WA

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

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 Molina Healthcare Of Washington, Inc's NPI number?

The NPI number for Molina Healthcare Of Washington, Inc is 1891000725. It was assigned to this organization in the NPPES registry on August 16, 2010. The provider is doing business as Molina Medical Group - Washington.

Where is Molina Healthcare Of Washington, Inc located?

Molina Healthcare Of Washington, Inc is located at 15 SW Everett Mall Way Suite A, Everett, WA 98208. The listed phone number is (562) 499-6191.

What is Molina Healthcare Of Washington, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Molina Healthcare Of Washington, Inc was last updated on September 27, 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.