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

Nicole Javier Delos Santos, MD

Individual provider Family Medicine Physician · NPI 1477296143

Nicole Javier Delos Santos, MD is a Family Practice in Tacoma, Washington. Qualified in 2022, 4 years ago. Practices with Kaiser Foundation Health Plan of Washington, a 1,519-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
4
Licensed in
WA
In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1202 Martin Luther King Jr Way
Tacoma, WA 98405-3926
Phone: (253) 441-4742
Fax: (253) 442-8790
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1007 39th Ave Se, Puyallup, WA 98374-2192 — (877) 828-4510

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD70013534 (WA)

Record details

NPI number1477296143
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 19, 2022
Last updated in NPPESOctober 15, 2025
Certification dateOctober 15, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Kaiser Foundation Health Plan Of Washington — 1519 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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