Cua & Gan Medical Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CUA & GAN MEDICAL CORPORATION

Practice address

1433 W Merced Ave
Ste 114-8
West Covina, CA 91790-3402

Phone

(626) 960-4989

Fax

(626) 960-5520

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Seung Sue Cua, MDNPI 1063513661

Title

President

Phone

(626) 960-4989

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Cua and Gan Medical GRP2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Cua & Gan Medical Group

  • Specialist
  • West Covina, CA
  • NPI 1083807382
  NPD tax ID

Locations

Practitioners 4

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

• Seung Sue Cua, MD

  • Internal Medicine Physician
  • West Covina, CA
  • NPI 1063513661
  Medicare reassignment Care Compare group Authorized official
• Michael Hien Bien, M.D.

  • Nephrology Physician
  • San Dimas, CA
  • NPI 1689680654
  Medicare reassignment Care Compare group
• Maryse Guevara Flores, NURSE PRACTITIONER

  • Nurse Practitioner
  • West Covina, CA
  • NPI 1497452957
  Medicare reassignment Care Compare group
• Teresita Belen Yap Gan, MD

  • Family Medicine Physician
  • West Covina, CA
  • NPI 1114028727
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1083715692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1433 W MERCED",
            "address_2": "STE 114-8",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "91790",
            "telephone_number": "626-960-4989",
            "fax_number": "626-960-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 W MERCED AVE",
            "address_2": "STE 114-8",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903402",
            "telephone_number": "626-960-4989",
            "fax_number": "626-960-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUA & GAN MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "CUA",
        "authorized_official_first_name": "SEUNG SUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-960-4989",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0013850",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olivia Cruz
• Ruth Cruz
• Zeth Anne Cruz
• Johny A Cu, MD
• Rosa Go Cu, MD
• Cua & Gan Medical Group
• Cua, Gan and Bien Medical Corporation
• Seung Sue Cua, MD
• Jonathan Cuadra
• Elisa J Cuello, LCSW

• Family Medicine Physician in West Covina, CA
• Providers in West Covina, 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 Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.