Individual provider Active NPI

Barton H Ueki, M.D.

  • Gastroenterology Physician
  • Whittier, CA
National Provider Identifier
1043219355
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A22592 Issued in CA
Practice address
12486 Washington Blvd
Whittier, CA 90602-1005
Phone
(562) 693-0756
Fax
(562) 693-2371
NPI assigned
Jul 19, 2005
Reactivated
Mar 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A22592 CA Primary

Addresses

Primary practice location

12486 Washington Blvd
Whittier, CA 90602-1005

Mailing address

12486 Washington Blvd
Whittier, CA 90602-1005
Phone (562) 693-0756

Other practice location 1

5750 Downey Ave Ste 202
Lakewood, CA 90712-1470
Phone (562) 634-4939

Other identifiers 1

IdentifierTypeStateIssuer
00A225920MedicaidCA

Other names 1

  • Barton H Ueki MD a Professional Corporation Professional name

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
I20110103000139 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 7012105315 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of California, San Francisco School of Medicine, 1966
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prohealth Partners, a Medical GroupGroup PAC ID 2769388412, 236 clinicians

Practice addresses (Care Compare)

5750 Downey Ave
Suite 202
Lakewood, CA 90712-1470
Phone (562) 634-4939

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A22592CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Partners, a Medical Group Current Accepting new patients
Prohealth Partners, a Medical Group Gastroenterology CurrentSince Oct 1, 2020 Accepting new patients
Prohealth Partners, a Medical Group, Inc. CurrentSince Oct 1, 2020 Accepting new patients
Kamali Medical Corporation CurrentSince Mar 3, 2016 Accepting new patients
Ahmc Whittier Hospital Medical Center LP Past Accepting new patients
Pih Health Whittier Hospital Past Accepting new patients
University of California Irvine Past Accepting new patients

Locations

5750 Downey Ave
Ste 202
Lakewood, CA 90712
Phone (562) 634-4939

3801 Katella Ave
Ste 330
Los Alamitos, CA 90720
Phone (562) 594-9546

File 54567
Los Angeles, CA 90074
Phone (310) 491-9060

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

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": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1043219355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12486 WASHINGTON BLVD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906021005",
            "telephone_number": "562-693-0756",
            "fax_number": "562-693-2371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12486 WASHINGTON BLVD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906021005",
            "telephone_number": "562-693-0756",
            "fax_number": "562-693-2371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5750 Downey Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CA",
            "postal_code": "907121470",
            "country_code": "US",
            "telephone_number": "562-634-4939",
            "fax_number": "562-634-5809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UEKI",
        "first_name": "BARTON",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2019-10-22",
        "deactivation_date": "2006-03-20",
        "reactivation_date": "2006-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A22592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A225920",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARTON",
            "last_name": "UEKI MD A PROFESSIONAL CORPORATION",
            "middle_name": "H",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Whittier, CA

Sources for this page

Verify at the official NPI Registry.