The Ida Karlin Pediatric Center
NPI 1366657918ActiveOrganization· Pediatrics· Puyallup, WA
Pediatrics in Puyallup, Washington, registered in NPPES in May 2007. The authorized official on file is Ovidio Penalver, MD, Corporate Officer, Provider.
Overview
| NPI | 1366657918 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 14, 2007 |
| Last updated in NPPES | Dec 23, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | MD00015660 | WA |
| Counselor | 101Y00000X | LH60394287 | WA |
| Psychologist | 103T00000X | PY60385056 | WA |
| Nurse Practitioner, Pediatrics | 363LP0200X | AP60312846 | WA |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | AP60311598 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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