CCM SPECIALTY CARE LLC – NPI #1306636741
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CCM SPECIALTY CARE LLC is a provider located in BELLEVUE, WA. NPPES has assigned the NPI number 1306636741 to CCM SPECIALTY CARE LLC on May 08, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on May 14, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CCM SPECIALTY CARE LLC below.

NPI Profile for
CCM SPECIALTY CARE LLC

NPI Number
1306636741
Enumeration Date

(more than a year ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CCM SPECIALTY CARE LLC
Primary location
1940 116TH AVE NE STE 200B
BELLEVUE, WA 98004-3097
Phone: (425) 276-1825 Fax: (855) 785-8770
Mailing address
710 S 348TH ST STE B
FEDERAL WAY, WA 98003-7042
Phone: (425) 276-1825 Fax: (206) 899-1299
Organization Subpart
No
Authorized Official
CHRISTOPHER CHENG
MEDICAL DIRECTOR
Phone: (425) 276-1825
Updated
Certification Date
May 14, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.