CCM SPECIALTY CARE LLC – NPI #1790578557
Pediatrics
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
CCM SPECIALTY CARE LLC is a provider located in BELLEVUE, WA. NPPES has assigned the NPI number 1790578557 to CCM SPECIALTY CARE LLC on May 26, 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 2080A0000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Adolescent Medicine Keep in mind, 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
(more than a year ago)
BELLEVUE, WA 98004-3097 Phone: (425) 276-1825 Fax: (855) 785-8770
FEDERAL WAY, WA 98003-7042 Phone: (425) 276-1825 Fax:
MEDICAL DIRECTOR
Phone: (425) 276-1825
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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.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 2080A0000X - Pediatrics / Adolescent Medicine (Primary) |
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| 2080C0008X - Pediatrics / Child Abuse Pediatrics |
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| 2080B0002X - Pediatrics / Obesity Medicine |
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| 208000000X - Pediatrics |
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| 133NN1002X - Nutritionist / Nutrition, Education |
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| 103G00000X - Clinical Neuropsychologist |
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.