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

Luis Carlos Alcalde, PHYSICIANASSISTANT

Individual provider Medical Physician Assistant · NPI 1376521229

Luis Carlos Alcalde, PHYSICIANASSISTANT is a Physician Assistant in Othello, Washington. Qualified in 2004, 22 years ago. Practices with Columbia Basin Health Association, a 43-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
22
Licensed in
WA
In the registry since
2006

Practice location Address checks out

1515 E Columbia St
Othello, WA 99344-1846
Phone: (509) 488-5256
Fax: (509) 488-5256
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA10001584 (WA)

Record details

NPI number1376521229
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedJanuary 1, 2006
Last updated in NPPESMarch 12, 2021
Certification dateMarch 12, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Columbia Basin Health Association — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Othello