| NPI | 1346341377 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-09-25 |
| Last Updated | 2021-05-24 |
| Mailing Address | Po Box 3360 Portland, OR 97208-3360 United States Phone: (866) 366-2983 📍 View Map |
| Primary Practice Address | 12800 Bothell Everett Hwy, Suite 190 Everett, WA 98208-6642 United States Phone: (425) 316-5160 | Fax: (425) 316-5163 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | WA | 8146391 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 208000000X – Pediatrics | WA | MD00030850 |
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About NPI 1346341377
Celia M. Dastvan MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1346341377. The primary specialty listed is Pediatrics. The provider is located in Everett, WA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-09-25. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1346341377?
NPI 1346341377 belongs to Celia M. Dastvan MD, a Pediatrics in Everett, WA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1346341377 active?
The current status of NPI 1346341377 in the NPPES registry is Active. The record was last updated on 2021-05-24.
What specialty is NPI 1346341377?
NPI 1346341377 is classified under the taxonomy Pediatrics. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1346341377?
You can verify NPI 1346341377 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1346341377?
The primary practice address on file for NPI 1346341377 is 12800 Bothell Everett Hwy, Everett, WA 98208-6642. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1346341377 issued?
NPI 1346341377 was first issued (enumerated) on 2006-09-25. The NPPES record was last updated on 2021-05-24.
Practice Location Map
Celia M. Dastvan is located at 12800 Bothell Everett Hwy, Everett, WA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Celia M. Dastvan. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1346341377. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pediatrics | MD00030850 | WA |