Senior Doc Wa PC
NPI 1588430367 · Family Medicine Physician · Marysville, WA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Senior Doc Wa PC is a Family Medicine Physician organization in Marysville, WA (NPI 1588430367).
Provider details
- NPI number
- 1588430367
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Angelica Soto, Credentialing Specialist(714) 702-5145
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
- 2023-12-01
- Last updated
- 2025-09-11
- Certified
- 2025-09-11
Frequently asked questions
- What is Senior Doc Wa PC's NPI number?
- Senior Doc Wa PC's National Provider Identifier (NPI) is 1588430367, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Senior Doc Wa PC?
- Senior Doc Wa PC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Senior Doc Wa PC located?
- Senior Doc Wa PC's practice location on file with NPPES is 912 State Ave, Marysville, WA 98270-4239.
- What is Senior Doc Wa PC's phone number?
- The practice phone number listed in the NPPES registry for Senior Doc Wa PC is (855) 434-7763.
- Does Senior Doc Wa PC accept Medicare?
- Senior Doc Wa PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Senior Doc Wa PC?
- The authorized official listed on Senior Doc Wa PC's NPPES record is Angelica Soto, Credentialing Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Senior Doc Wa PC's NPI active?
- Yes — Senior Doc Wa PC's NPI (1588430367) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.