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Active NPI 1548009343 Individual Practitioner Male Practitioner

Jackson Sanguily , PA

Physician Assistant • Puyallup, WA

Professional Overview & Biography Verified Profile Summary

Jackson Sanguily, PA is a registered healthcare professional specializing in Physician Assistant in Puyallup, WA. Practice services are available at 413 29TH ST NE STE I under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

413 29th St Ne Ste I

Puyallup, WA 983727154

Telephone 8552551750
Fax 8552550905
Associated Practice Facility / Clinic
🏢 United Wound Healing Ps Facility NPI 1669845327

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Puyallup, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.2 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
88 Specialists

Practicing in Puyallup, WA (3774 Statewide)

Telehealth Adoption Rate
4.5% 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: 2026-07-06
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WA PA.PA.70147889

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Emergency Medical Technician, Basic

NUCC Taxonomy Code: 146N00000X

State License CO Q212354

A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

State License WA PA.PA.70147889

Definition to come...

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License WA PA.PA.70147889

Definition to come...

Secondary Practice Locations

3827 N Lafayette St

Denver, CO 802055089

Phone: 3035001518

Practice Associates & Co-Workers

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

40 Associated Practitioners
Nicole Fung , PA-C

Physician Assistant

NPI 1033863451

Physician Assistant (Certified)

Adam Gonzalez , PA-C

Physician Assistant

NPI 1033927629

Physician Assistant (Certified)

Natale Biondo , PA

Physician Assistant

NPI 1043323876

Physician Assistant

Margaret Poteet , MSN

Nurse Practitioner

NPI 1093404907

Master of Science in Nursing

Salvador Luna , PA-C

Physician Assistant - Medical

NPI 1093406985

Physician Assistant (Certified)

Andrea Cachia , PA-C

Physician Assistant

NPI 1134405624

Physician Assistant (Certified)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location July 06, 2026

Registered at 413 29TH ST NE STE I, PUYALLUP, WA 983727154 (Tel: 8552551750)

📍
Updated Business Mailing Address July 06, 2026

Registered at PO BOX 24081, SEATTLE, WA 981240081 (Tel: 8552551750)

👤
Provider Name / Credentials Updated July 06, 2026

Recorded as JACKSON SANGUILY, PA

NPI Profile Active May 21, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location May 21, 2024

Registered at 3827 N LAFAYETTE ST, DENVER, CO 802055089 (Tel: 3035001518)

📍
Updated Business Mailing Address May 21, 2024

Registered at 6 CARRIAGE WALK LN APT 342, SCARBOROUGH, ME 040748296

👤
Provider Name / Credentials Updated May 21, 2024

Recorded as JACKSON SANGUILY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 21, 2024

Emergency Medical Technician, Basic (License #Q212354 in CO)

🟢
Initial NPI Registration & Enumeration May 21, 2024

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: 1548009343
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 21, 2024
Last Update: July 06, 2026
Sole Proprietor: Yes

Mailing Address

Po Box 24081

Seattle, WA 981240081

Phone: 8552551750

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.