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Active NPI 1477383990 Individual Practitioner Male Practitioner

Tri Cong Van , PA-C

Physician Assistant • Renton, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Tri Van, PA-C is a certified Physician Assistant practicing in Renton, WA. With approximately 1 years of clinical experience since graduating from University Of Washington School Of Medicine in 2025, Tri Van delivers high-quality medical care to the local community at 400 S 43RD ST.

Tri Van is affiliated with Vantage Radiology And Diagnostic Services, A Professional Services Cor and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

400 S 43rd St

Renton, WA 980555714

Telephone 2536611700
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

University Of Washington School Of Medicine

Graduation Year

2025

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Renton, WA

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
1 Yrs -9.4 yrs vs City Avg
City Avg: 10.4 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
58 Specialists

Practicing in Renton, WA (3774 Statewide)

Telehealth Adoption Rate
25.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Van (1 Years) 1 Yrs
Renton Specialty Average (10.4 Years) 10.4 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-11-08
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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.

Radiologic Technologist - Radiography

NUCC Taxonomy Code: 2471C3402X

A radiologic technologist who specializes in radiography (also known as x-rays) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of radiographs, exam techniques, equipment protocols, radiation safety, and patient care.

Hospital & Practice Group Affiliations

Vantage Radiology And Diagnostic Services, A Professional Services Cor

533 S 336th St, Federal Way, WA 980036329

Phone: 2536611700

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Ronald Nicol , MD

Radiology - Diagnostic Radiology

NPI 1033119664

Doctor of Medicine (M.D.)

Dr. Robert Nathan , MD

Radiology - Diagnostic Radiology

NPI 1083606511

Doctor of Medicine (M.D.)

Dr. Elliot Breshears , MD

Radiology - Diagnostic Radiology

NPI 1104484278

Doctor of Medicine (M.D.)

Dr. Pyong Kim , MD

Radiology - Diagnostic Radiology

NPI 1114975075

Doctor of Medicine (M.D.)

Dr. Michael Nelsen , MD

Radiology - Diagnostic Radiology

NPI 1124028568

Doctor of Medicine (M.D.)

Dr. Samuel Chao , MD

Radiology - Vascular & Interventional Radiology

NPI 1154522092

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location November 08, 2025

Registered at 400 S 43RD ST, RENTON, WA 980555714 (Tel: 2536611700)

📍
Updated Business Mailing Address November 08, 2025

Registered at 400 S 43RD ST, RENTON, WA 980555714 (Tel: 2536611700)

👤
Provider Name / Credentials Updated November 08, 2025

Recorded as TRI VAN, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2025

Physician Assistant

NPI Profile Active August 07, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location August 07, 2024

Registered at 4311 11TH AVE NE STE 200, SEATTLE, WA 981056367 (Tel: 2066164001)

📍
Updated Business Mailing Address August 07, 2024

Registered at 4311 11TH AVE NE STE 200, SEATTLE, WA 981056367 (Tel: 2066164001)

👤
Provider Name / Credentials Updated August 07, 2024

Recorded as TRI VAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2024

Radiologic Technologist

🟢
Initial NPI Registration & Enumeration August 07, 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: 1477383990
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 07, 2024
Last Update: November 08, 2025
Sole Proprietor: No

Mailing Address

400 S 43rd St

Renton, WA 980555714

Phone: 2536611700

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.