NPIMap

Organization Active NPI

Peter Wang Chiropractic Corp.

  • Chiropractor
  • El Monte, CA
National Provider Identifier
1194091983
Registry record updated Mar 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 31223 Issued in CA
Legal business name
PETER WANG CHIROPRACTIC CORP.
Practice address
9939 Garvey Ave Ste B
El Monte, CA 91733-4712
Phone
(626) 442-0800
Fax
(626) 442-3800
NPI assigned
Mar 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2012

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

Authorized official

Name
Dr. Chung-PO Peter Wang, DC, LACNPI 1013246263
Title
President
Phone
(626) 442-0800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC 31223 CA Primary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC 13178 CA

Addresses

Primary practice location

9939 Garvey Ave Ste B
El Monte, CA 91733-4712

Mailing address

9939 Garvey Ave Ste B
El Monte, CA 91733-4712
Phone (626) 442-0800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180605001765 CA Part B Supplier - Clinic/Group Practice 4183989593 Receives reassigned benefits from 1 practitioner
Practice locations: El Monte, CA

National Provider Directory

National Provider Directory

Locations

9939 Garvey Ave
Ste A
El Monte, CA 91733
Phone (626) 442-0800

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1194091983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9939 GARVEY AVE STE B",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917334712",
            "telephone_number": "626-442-0800",
            "fax_number": "626-442-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9939 GARVEY AVE STE B",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917334712",
            "telephone_number": "626-442-0800",
            "fax_number": "626-442-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER WANG CHIROPRACTIC CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-27",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "CHUNG-PO",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-442-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, LAC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 31223",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 13178",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Monte, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.