Joshua International Medical Group

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

JOSHUA INTERNATIONAL MEDICAL GROUP

Doing business as

Joshua Medical Group

Practice address

7872 Walker Street
Suite 211
La Palma, CA 90623

Phone

(714) 527-8777

Fax

(714) 527-8990

NPI assigned

Apr 11, 2007

Last updated

Nov 4, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jinni Chao

Title

Admin. Assistant

Phone

(714) 527-8943

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Joshua Medical Group Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Joshua International Med 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.

• Joshua International Medical Group

  • Family Nurse Practitioner
  • Cerritos, CA
  • NPI 1568742674
  NPD tax ID

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3254/brand/1/csg/1/fhir/r4

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tina Leung

  • Physical Therapist
  • La Palma, CA
  • NPI 1568992964
  Medicare reassignment Care Compare group NPD
• Kwan Toh Tan, M.D.

  • Internal Medicine Physician
  • La Palma, CA
  • NPI 1013099746
  Medicare reassignment Care Compare group NPD
• Andrew Mui, M.D.

  • Internal Medicine Physician
  • La Palma, CA
  • NPI 1992135826
  Medicare reassignment Care Compare group
• Winston C Wong, M.D.

  • Internal Medicine Physician
  • La Palma, CA
  • NPI 1932284817
  Medicare reassignment Care Compare group
• Virginia Devera Cruz-Samonte, FNP

  • Primary Care Nurse Practitioner
  • Cerritos, CA
  • NPI 1922176379
  NPD (past)
• Susie Kang

  • Health & Wellness Coach
  • La Palma, CA
  • NPI 1578211645
  NPD (past)
• Joel Elon Lin

  • Health & Wellness Coach
  • La Palma, CA
  • NPI 1942087507
  NPD (past)

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478217600000",
    "number": "1215150529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7872 WALKER STREET",
            "address_2": "SUITE 211",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "90623",
            "telephone_number": "714-527-8777",
            "fax_number": "714-527-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7872 WALKER STREET",
            "address_2": "SUITE 211",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "90623",
            "telephone_number": "714-527-8777",
            "fax_number": "714-527-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSHUA INTERNATIONAL MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2016-11-04",
        "status": "A",
        "authorized_official_last_name": "CHAO",
        "authorized_official_first_name": "JINNI",
        "authorized_official_title_or_position": "ADMIN. ASSISTANT",
        "authorized_official_telephone_number": "714-527-8943"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0061200",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0061190",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joshua Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emeri Jimenez
• Sharon Chimezie Jite
• Seuk Hee Joe
• Olugbemiga Adeoye Johnson
• Jongjin Kim MD Inc
• Jeffrey E Judson, MD
• Julia Nasser MD, a Medical Corporation
• Inderjeet S Julka, M.D.
• Kaiser Foundation Health Plan Inc (Kaiser Permanente Pharmacy 383)
• Kaiser Permanente

• Internal Medicine Physician in La Palma, CA
• Providers in La Palma, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; 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.