Concordia Star Medical LLC
NPI 1790163491 · Primary Care Clinic/Center · Puyallup, WA
Concordia Star Medical LLC is a Primary Care Clinic/Center organization in Puyallup, WA (NPI 1790163491).
Provider details
- NPI number
- 1790163491
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ladie Arana-Domondon, Owner/Ceo(253) 579-0067
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
11 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
- 2015-05-13
- Last updated
- 2015-05-13
Frequently asked questions
- What is Concordia Star Medical LLC's NPI number?
- Concordia Star Medical LLC's National Provider Identifier (NPI) is 1790163491, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Concordia Star Medical LLC?
- Concordia Star Medical LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Concordia Star Medical LLC located?
- Concordia Star Medical LLC's practice location on file with NPPES is 118 7th Ave Sw, Puyallup, WA 98371-6803.
- What is Concordia Star Medical LLC's phone number?
- The practice phone number listed in the NPPES registry for Concordia Star Medical LLC is (253) 579-0067.
- Who is the authorized official for Concordia Star Medical LLC?
- The authorized official listed on Concordia Star Medical LLC's NPPES record is Ladie Arana-Domondon, Owner/Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Concordia Star Medical LLC's NPI active?
- Yes — Concordia Star Medical LLC's NPI (1790163491) is active in the NPPES registry as of the last update on 2015-05-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.