Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sunnyside Family Practice PLLC

Organization Physician Assistant · NPI 1811866437

Sunnyside Family Practice PLLC is a Physician Assistant in Sunnyside, Washington. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1614 E Edison Ave Ste F
Sunnyside, WA 98944-1668
Phone: (509) 388-4686
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1811866437
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Manuel Jimenez — Ower · (509) 388-4686
NPI enumeratedNovember 3, 2025
Last updated in NPPESNovember 25, 2025
Certification dateNovember 25, 2025
Mailing address409 Emerald Ave, Grandview, WA 98930-6101

Other providers in Sunnyside