Southgate Medical Clinic, P.s.
NPI 1336254051 · Primary Care Clinic/Center · Seattle, WA
Southgate Medical Clinic, P.s. is a Primary Care Clinic/Center organization in Seattle, WA (NPI 1336254051).
Provider details
- NPI number
- 1336254051
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Roberto Velasco, Medical Provider/Owner(206) 723-9853
- License
- MD00022120 (WA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-20
- Last updated
- 2020-08-22
Frequently asked questions
- What is Southgate Medical Clinic, P.s.'s NPI number?
- Southgate Medical Clinic, P.s.'s National Provider Identifier (NPI) is 1336254051, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southgate Medical Clinic, P.s.?
- Southgate Medical Clinic, P.s. is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Southgate Medical Clinic, P.s. located?
- Southgate Medical Clinic, P.s.'s practice location on file with NPPES is 6044 Martin Luther King Jr Way S Ste 104, Seattle, WA 98118-3179.
- What is Southgate Medical Clinic, P.s.'s phone number?
- The practice phone number listed in the NPPES registry for Southgate Medical Clinic, P.s. is (206) 723-9853.
- Who is the authorized official for Southgate Medical Clinic, P.s.?
- The authorized official listed on Southgate Medical Clinic, P.s.'s NPPES record is Roberto Velasco, Medical Provider/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southgate Medical Clinic, P.s.'s NPI active?
- Yes — Southgate Medical Clinic, P.s.'s NPI (1336254051) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.