Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1346341377 Individual Practitioner Female Practitioner

Dr. Celia M. Dastvan , MD

Pediatrics • Everett, WA

Professional Overview & Biography Verified Profile Summary

Dr. Celia Dastvan, MD is a registered healthcare professional specializing in Pediatrics in Everett, WA. Practice services are available at 12800 BOTHELL EVERETT HWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12800 Bothell Everett Hwy
Suite 190

Everett, WA 982086642

Telephone 4253165160
Fax 4253165163
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Everett, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.0 Yrs
State Avg: 18.8 Yrs
Regional Practice Density
39 Specialists

Practicing in Everett, WA (1802 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-05-10
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License WA MD00030850

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
8146391 (WA)

Secondary Practice Locations

2902 16th St Sw Bldg E1

Lynnwood, WA 98087

Phone: 4257417750

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
NPI 1124129648

Doctor of Medicine (M.D.)

NPI 1154412955

Doctor of Medicine (M.D.)

NPI 1285735522

Doctor of Medicine (M.D.)

NPI 1366543308

Doctor of Medicine (M.D.)

Dr. Evangeline Gan , MD

Internal Medicine

NPI 1376644351

Doctor of Medicine (M.D.)

NPI 1467553529

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 12, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location February 12, 2015

Registered at 12800 BOTHELL EVERETT HWY, SUITE 190, EVERETT, WA 982086642 (Tel: 4253165160)

📍
Updated Business Mailing Address February 12, 2015

Registered at PO BOX 3360, PORTLAND, OR 972083360 (Tel: 8663662983)

👤
Provider Name / Credentials Updated February 12, 2015

Recorded as CELIA DASTVAN, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 12, 2015

Pediatrics (License #MD00030850 in WA)

🟢
Initial NPI Registration & Enumeration September 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1346341377
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 25, 2006
Last Update: May 24, 2021
Sole Proprietor: No

Mailing Address

Po Box 3360

Portland, OR 972083360

Phone: 8663662983

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.