Individual provider Active NPI

Michael Kwark

  • Rheumatology Physician
  • Monterey Park, CA
National Provider Identifier
1033798269
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
20A25001 Issued in CA
Practice address
941 S Atlantic Blvd Ste 101
Monterey Park, CA 91754-4722
Phone
(626) 458-8401
NPI assigned
Apr 5, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 20A25001 CA Primary

Addresses

Primary practice location

941 S Atlantic Blvd Ste 101
Monterey Park, CA 91754-4722

Mailing address

941 S Atlantic Blvd Ste 101
Monterey Park, CA 91754-4722
Phone (626) 458-8401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260626004045 CA Practitioner - Rheumatology 5991278244 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
West Virginia School of Osteopathic Medicine, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1511 Pine Dr
LA Habra, CA 90631-5961

3000 S Robertson Blvd
Suite 280
Los Angeles, CA 90034-3144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20A25001CAMDRheumatology Physician

Interoperability endpoints

  • Direct secure messaging: mkwark171015@uihealth.direct-ci.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1033798269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 S ATLANTIC BLVD STE 101",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917544722",
            "telephone_number": "626-458-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 S ATLANTIC BLVD STE 101",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917544722",
            "telephone_number": "626-458-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWARK",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-05",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "20A25001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

Verify at the official NPI Registry.