NPIMap

Individual provider Active NPI

Jim-Jer Hwu, MD

  • Nephrology Physician
  • Monterey Park, CA
National Provider Identifier
1275634248
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A41098 Issued in CA
Practice address
120 E Emerson Ave
Monterey Park, CA 91755-1709
Phone
(626) 280-0676
Fax
(626) 280-2694
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A41098 CA Primary

Addresses

Primary practice location

120 E Emerson Ave
Monterey Park, CA 91755-1709

Mailing address

120 E Emerson Ave
Monterey Park, CA 91755-1709
Phone (626) 280-0676

Other identifiers 1

IdentifierTypeStateIssuer
00A410980MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100312000337 CA Practitioner - Nephrology 0648189191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Golden Pacific Nephrology Medical Clinic IncGroup PAC ID 9032154075, 4 clinicians

Practice addresses (Care Compare)

120 E Emerson Ave
Monterey Park, CA 91755-1709
Phone (626) 280-0676

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A41098CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Pacific Nephrology Medical Clinic, Inc. Nephrology CurrentSince Apr 1, 2003 Accepting new patients
Dignity Community Care Past Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients
Pacific Vascucare Surgery Center PastSince Aug 15, 2018 Accepting new patients
Renal Treatment Centers California Inc. PastSince Jul 1, 2018 Accepting new patients
Ahmc San Gabriel Valley Medical Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients
Alhambra Hospital Medical Center, LP Past Accepting new patients
Golden Pacific Nephrology Medical Clinic, Inc. Past Accepting new patients
Cha Hollywood Medical Center, LP Past Accepting new patients
Golden Pacific Nephrology Medical Clinic Nephrology Past Accepting new patients
Ahmc Garfield Medical Center LP Past Accepting new patients

Locations

1027 E Main St
Alhambra, CA 91801
Phone (626) 280-0676

120 E Emerson Ave
Monterey Park, CA 91755
Phone (626) 269-9993

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jim-jer.hwu@direct.davitaphysiciansolutions.com

Organizations & group practices 12

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361318400000",
    "number": "1275634248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E EMERSON AVE",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917551709",
            "telephone_number": "626-280-0676",
            "fax_number": "626-280-2694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E EMERSON AVE",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917551709",
            "telephone_number": "626-280-0676",
            "fax_number": "626-280-2694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HWU",
        "first_name": "JIM-JER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2013-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A41098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A410980",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

Verify at the official NPI Registry.