Active NPI
Charles Jung Chao Kwang, D.C.
- Chiropractor
- Arcadia, CA
National Provider Identifier
1194756551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC28111
- Practice address
- 65 N 1St Ave
204
Arcadia, CA 91006-3207 - Phone
- (626) 786-7704
- Fax
- (626) 810-0113
- NPI assigned
- Jul 5, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC28111 | CA | Primary |
Addresses
Primary practice location
65 N 1St Ave
204
Arcadia, CA 91006-3207
Mailing address
PO Box 883
Monterey Park, CA 91754-0883
Phone (626) 786-7704
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC0281110 | Other | CA | MEDICAL NUMBER |
| DC28111 | Other | CA | PPO NUMBER |
| DC0281110 | Other | CA | BLUESHIELD NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC28111 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chok P Wan MD Inc | Past | Accepting new patients | |
| R Tseng Chiropractic Corp | Chiropractor | Past | Accepting new patients |
| Chok P. Wan M.D., Inc. | Past | Accepting new patients | |
| Chang Chiropractic Healthcare Clinic | Chiropractor | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Affinity Healthcare Clinic
- Chiropractor
- Rowland Heights, CA
- NPI 1952831331
-
- Clinic/Center
- Long Beach, CA
- NPI 1336443548
-
- Internal Medicine Physician
- Long Beach, CA
- NPI 1447345947
-
- Chiropractor
- Chino, CA
- NPI 1356621775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194756551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 883",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917540883",
"telephone_number": "626-786-7704",
"fax_number": "626-810-0113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 N 1ST AVE",
"address_2": "204",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910063207",
"telephone_number": "626-786-7704",
"fax_number": "626-810-0113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWANG",
"first_name": "CHARLES",
"middle_name": "JUNG CHAO",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC28111",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL NUMBER",
"identifier": "DC0281110",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PPO NUMBER",
"identifier": "DC28111",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUESHIELD NUMBER",
"identifier": "DC0281110",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arcadia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.