Unknown Individual – Medical Physician Assistant, NPI 1649499054

Medical Physician Assistant

Unknown Individual is a healthcare provider. based in Tacoma, Washington. specializing in Medical Physician Assistant. They hold a License No. PA10001007 (WA). The NPI Number for Unknown Individual is 1649499054

Main info

Organization

Inactive

Name

Unknown Individual

NPI

1649499054

Phone

(253) 531-6422

Address

15022 18TH AVENUE CT E

Deactivation Date

24 March 2023

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience14

Completeness75

Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

15022 18TH AVENUE CT E
TACOMA, WA 984453427
Phone: (253) 531-6422
Fax: (253) 582-7310
Type: Mailing
6210 75TH ST W STE A200
LAKEWOOD, WA 984998110
Phone: (253) 581-2261
Fax: (253) 582-7310
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

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

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 98445)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?

In the U.S., Unknown Individual is identified by NPI 1649499054.

What happens when Unknown Individual's NPI is not active?

Public data lists Unknown Individual outside the active bucket for this identifier.

What does the directory say Unknown Individual does?

Insurance directories may phrase it differently, but here Unknown Individual maps to Medical Physician Assistant. Clinical services aligned with this taxonomy classification.

Which community is linked to Unknown Individual?

Unknown Individual shows a connection to Tacoma, Washington in registry-derived data.

Can I export Unknown Individual's record?

You can download the official NPPES record; we summarize key fields for readability.