Chow Medical Clinic, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A7057 Issued in CA

Legal business name

CHOW MEDICAL CLINIC, INC.

Practice address

817 S Vermont Ave
Los Angeles, CA 90005-1522

Phone

(213) 385-0029

Fax

(213) 385-5619

NPI assigned

Feb 29, 2016

Organization subpart

No

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

Authorized official

Name

Bruce Chow, D.O.NPI 1013913441

Title

President

Phone

(213) 385-0029

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bruce Chow, DO

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1013913441
  Medicare reassignment NPD Authorized official
• Thick GW Chow, MD

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1447282876
  Medicare reassignment NPD

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

{
    "created_epoch": "1456704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463097600000",
    "number": "1053771394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900051522",
            "telephone_number": "213-385-0029",
            "fax_number": "213-385-5619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900051522",
            "telephone_number": "213-385-0029",
            "fax_number": "213-385-5619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOW MEDICAL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-29",
        "last_updated": "2016-05-13",
        "status": "A",
        "authorized_official_last_name": "CHOW",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-385-0029",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A7057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanjil Choudhury
• Mino Chough
• Jennifer Choung
• Joon Ho Choung, MD
• Nakisa Choupani, LCSW
• Albert C. Chow, MD
• Barbara Chow
• Beltran Chow, LCSW
• Benjamin Franklin Chow, PA-C
• Bruce Chow, DO

• Family Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.