Organization Active NPI

Thomas T. Ha, M.D., Inc.

  • Internal Medicine Physician
  • Covina, CA
National Provider Identifier
1194257618
Registry record updated Apr 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A43426 Issued in CA
Legal business name
THOMAS T. HA, M.D., INC.
Practice address
530 W Badillo St
Suite E
Covina, CA 91722-3787
Phone
(626) 858-5370
NPI assigned
Apr 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2017

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

Authorized official

Name
Dr. Thomas T. Ha, M.D
Title
President
Phone
(626) 367-1033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A43426 CA Primary

Addresses

Primary practice location

530 W Badillo St
Suite E
Covina, CA 91722-3787

Mailing address

23541 Ridge Line Rd
Diamond Bar, CA 91765-3008
Phone (626) 367-1033

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170412001322 CA Part B Supplier - Clinic/Group Practice 4587940291 Receives reassigned benefits from 1 practitioner
Practice locations: Covina, CA

National Provider Directory

National Provider Directory

Locations

530 W Badillo St
Ste E
Covina, CA 91722
Phone (626) 280-2803

Practitioners & affiliated clinicians

Practitioners 1

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": "1491177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491177600000",
    "number": "1194257618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23541 RIDGE LINE RD",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917653008",
            "telephone_number": "626-367-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 W BADILLO ST",
            "address_2": "SUITE E",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917223787",
            "telephone_number": "626-858-5370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS T. HA, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-03",
        "last_updated": "2017-04-03",
        "status": "A",
        "authorized_official_last_name": "HA",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-367-1033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A43426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; 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.