Organization Active NPI

Edward Tangchitnob, MD., Inc.

  • Obstetrics & Gynecology Physician
  • West Covina, CA
National Provider Identifier
1063842649
Registry record updated Aug 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A110608 Issued in CA
Legal business name
EDWARD TANGCHITNOB, MD., INC.
Practice address
1135 S. Sunset Ave
Suite 102
West Covina, CA 91790-3937
Phone
(626) 338-5377
Fax
(626) 851-8822
NPI assigned
Nov 19, 2013
Last updated
Aug 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2016

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

Authorized official

Name
Edward P. Tangchitnob, M.D.NPI 1396996294
Title
President
Phone
(626) 338-5377

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A110608 CA Primary

Addresses

Primary practice location

1135 S. Sunset Ave
Suite 102
West Covina, CA 91790-3937

Mailing address

1135 S Sunset Ave
Suite 102
West Covina, CA 91790-3937
Phone (626) 338-5377

National Provider Directory

National Provider Directory

Locations

1135 S Sunset Ave
Ste 408
West Covina, CA 91790
Phone (626) 498-1737

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470614400000",
    "number": "1063842649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 S SUNSET AVE",
            "address_2": "SUITE 102",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903937",
            "telephone_number": "626-338-5377",
            "fax_number": "626-851-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 S. SUNSET AVE",
            "address_2": "SUITE 102",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903937",
            "telephone_number": "626-338-5377",
            "fax_number": "626-851-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD TANGCHITNOB, MD., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-19",
        "last_updated": "2016-08-08",
        "status": "A",
        "authorized_official_last_name": "TANGCHITNOB",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-338-5377",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A110608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.