Henry Rivera Kaw Jr., M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A95068 Issued in CA

Practice address

321 N Pomona Ave
Suite B
Fullerton, CA 92832-1927

Phone

(714) 462-8383

Fax

(714) 462-8384

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Care Plus Home Health Home health agency, Laguna Hills, CA, CCN 059376
• Providence St. Jude Medical Center Hospital, Fullerton, CA, CCN 050168

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Henry Kaw MD Inc

  • Primary Care Clinic/Center
  • Fullerton, CA
  • NPI 1992982292
  Medicare reassignment Authorized official
• GN Medical Associates, Inc.

  • Family Medicine Physician
  • Costa Mesa, CA
  • NPI 1275576522
  NPD (past)
• St Jude Hospital Inc

  • General Acute Care Hospital
  • Fullerton, CA
  • NPI 1194926279
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Care Plus Nursing Services, Inc.

  • Home Health Agency
  • Laguna Hills, CA
  • NPI 1528385143
  Care Compare affiliation
• St Jude Hospital Inc

  • General Acute Care Hospital
  • Fullerton, CA
  • NPI 1194926279
  Care Compare affiliation
• St Jude Hospital Inc

  • General Acute Care Hospital
  • Brea, CA
  • NPI 1891904942
  Care Compare affiliation

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392163200000",
    "number": "1215022967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N POMONA AVE",
            "address_2": "SUITE B",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321927",
            "telephone_number": "714-462-8383",
            "fax_number": "714-462-8384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N POMONA AVE",
            "address_2": "SUITE B",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321927",
            "telephone_number": "714-462-8383",
            "fax_number": "714-462-8384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAW",
        "first_name": "HENRY",
        "middle_name": "RIVERA",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2014-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A95068",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A95068",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amir Kativ, PHARM.D.
• Christina C Kato, OTR/L
• Jeffery S. Katz, PHD
• Michael A Katz, MD
• Robinjot Kaur
• Tricia S. Kawaguchi, O.D.
• Mikaela Kawahara
• Sharon Kay Kawai, M.D.
• Chika Kawashima
• Vladimir Kaye, MD

• Family Medicine Physician in Fullerton, CA
• Providers in Fullerton, 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 Feb 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.