Organization Active NPI

Eng Medical Associates

  • Ophthalmology Physician
  • Monterey Park, CA
National Provider Identifier
1295802643
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G55239 Issued in CA
Legal business name
ENG MEDICAL ASSOCIATES
Practice address
850 S Atlantic Blvd
Suite 301
Monterey Park, CA 91754-4769
Phone
(626) 289-8260
Fax
(626) 289-4242
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Calvin Thomas Eng, MDNPI 1225039092
Title
Owner
Phone
(626) 289-8260

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X G55239 CA Primary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X

Addresses

Primary practice location

850 S Atlantic Blvd
Suite 301
Monterey Park, CA 91754-4769

Mailing address

850 S Atlantic Blvd
Suite 301
Monterey Park, CA 91754-4769
Phone (626) 289-8260

Other identifiers 1

IdentifierTypeStateIssuer
GR0048690MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101005000481 CA Part B Supplier - Clinic/Group Practice 2062604341 Receives reassigned benefits from 3 practitioners
Practice locations: Monterey Park, CA

National Provider Directory

National Provider Directory
Tax ID family
Eng Medical Associates2 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.

Locations

9212 Valley Blvd
Rosemead, CA 91770
Phone (626) 288-2308

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295802643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 S ATLANTIC BLVD",
            "address_2": "SUITE 301",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917544769",
            "telephone_number": "626-289-8260",
            "fax_number": "626-289-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 S ATLANTIC BLVD",
            "address_2": "SUITE 301",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917544769",
            "telephone_number": "626-289-8260",
            "fax_number": "626-289-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENG MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ENG",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-289-8260",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G55239",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0048690",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.