SOUTHGATE MEDICAL CLINIC, P.S. – Primary Care Clinic/Center, NPI 1336254051

SOUTHGATE MEDICAL CLINIC, P.S. is a healthcare provider. based in Seattle, Washington. specializing in Primary Care Clinic/Center. The organization holds a License No. MD00022120 (WA). The NPI Number for SOUTHGATE MEDICAL CLINIC, P.S. is 1336254051

Main info

Organization
Name
SOUTHGATE MEDICAL CLINIC, P.S.
NPI
1336254051
Phone
(206) 723-9853
Address
6044 MARTIN LUTHER KING JR WAY S STE 104
Authorized Official
DR. ROBERTO A VELASCO JR. MEDICAL PROVIDER/OWNER M.D.
Enumeration Date
20 August 2006
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for SOUTHGATE MEDICAL CLINIC, P.S.

  • Martin Luther King Junior Way South, Mount Baker, Seattle, King County, Washington, 98144, United States

    SEATTLE, WA 981183179

    Phone: (206) 723-9853

    Fax: (206) 723-0849

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98118)

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Reviews

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Frequently asked questions

Does SOUTHGATE MEDICAL CLINIC, P.S. have a public NPI I can cite?
Public records show SOUTHGATE MEDICAL CLINIC, P.S. under NPI 1336254051.
Quick check: is SOUTHGATE MEDICAL CLINIC, P.S. active?
Public NPPES data shows SOUTHGATE MEDICAL CLINIC, P.S. with an active NPI status right now.
What services align with SOUTHGATE MEDICAL CLINIC, P.S.'s listing?
SOUTHGATE MEDICAL CLINIC, P.S.'s public classification highlights Primary Care Clinic/Center. Clinical services aligned with this taxonomy classification.
Can patients visit SOUTHGATE MEDICAL CLINIC, P.S. in Seattle, Washington?
For routing, start with Seattle, Washington for SOUTHGATE MEDICAL CLINIC, P.S., then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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