Pacific Horizon Medical Center Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

A70119 Issued in CA

Legal business name

PACIFIC HORIZON MEDICAL CENTER INC.

Doing business as

Pacific Royal Medical Center Inc.

Practice address

316 E Las Tunas Dr Ste 102
316 E. Las Tunas Drive, Suite 102
San Gabriel, CA 91776-1535

Phone

(626) 300-8880

Fax

(626) 300-8811

NPI assigned

Aug 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Zhi Zeng, MD, PHDNPI 1093801854

Title

President/Ceo

Phone

(626) 300-8880

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PACIFIC ROYAL MEDICAL CENTER INC. Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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.

• Zhi Zeng, MD

  • Internal Medicine Physician
  • San Gabriel, CA
  • NPI 1093801854
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485907200000",
    "number": "1285826669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 E LAS TUNAS DR STE 102",
            "address_2": "316 E LAS TUNAS DR STE 102",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761535",
            "telephone_number": "626-300-8880",
            "fax_number": "626-300-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 E LAS TUNAS DR STE 102",
            "address_2": "316 E. LAS TUNAS DRIVE, SUITE 102",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761535",
            "telephone_number": "626-300-8880",
            "fax_number": "626-300-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC HORIZON MEDICAL CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-09",
        "last_updated": "2017-02-01",
        "status": "A",
        "authorized_official_last_name": "ZENG",
        "authorized_official_first_name": "ZHI",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "626-300-8880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A70119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A701190",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PACIFIC ROYAL MEDICAL CENTER INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emmy Ortiz
• Oscar L. Chien, MD, a Professional Medical Corporation
• Lauren Kiyomi Oshiro, SLP-CCC
• Ping Ouyang
• Pacific Home Health Care Inc
• Pacific Medical Communications, Inc.
• Pacific Pharmacy Inc. (Pacific Pharmacy)
• Pacific Pharmacy Inc. (Pacific Pharmacy)
• Dana Pan, MD
• Wen Kuei Pan, M.D.

• Clinic/Center in San Gabriel, CA
• Providers in San Gabriel, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.