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

Rodrigo Landeros, PA-C

Individual provider Surgical Physician Assistant · NPI 1902253172

Rodrigo Landeros, PA-C is a Physician Assistant in Edmonds, Washington. Qualified in 2015, 11 years ago. Practices with Providence Health and Services- Washington, a 526-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
11
Licensed in
WA
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

7315 212th St SW Ste 201
Edmonds, WA 98026-7610
Phone: (425) 778-8116
Show map & directions

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

Additional practice locations (1)

  • 11511 Ne 10th St, Bellevue, WA 98004-8578 — (425) 502-3000

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA60655595 (WA)
Physician Assistant Taxonomy 363A00000X · Licence PA60655595 (WA)

Record details

NPI number1902253172
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 18, 2016
Last updated in NPPESAugust 25, 2021
Certification dateAugust 25, 2021
Mailing address17 Old Post Rd, Montgomery, IL 60538-2609

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Providence Health And Services- Washington — 526 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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