Organization Active NPI

NXT Ipa Inc

  • Case Management Agency
  • Diamond Bar, CA
National Provider Identifier
1376008219
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
NXT IPA INC
Practice address
414 S Prospectors Rd Ste B
Diamond Bar, CA 91765-1615
Phone
(213) 388-5144
Fax
(213) 388-5154
NPI assigned
Feb 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2019

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

Authorized official

Name
Edwin H Choi, MD
Title
Ceo
Phone
(213) 388-5144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

414 S Prospectors Rd Ste B
Diamond Bar, CA 91765-1615

Mailing address

414 S Prospectors Rd Ste B
Diamond Bar, CA 91765-1615
Phone (909) 860-0606

Other identifiers 1

IdentifierTypeStateIssuer
1245273820MedicaidCA

Other names 1

  • NXT IPA INC Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549324800000",
    "number": "1376008219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 S PROSPECTORS RD STE B",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651615",
            "telephone_number": "909-860-0606",
            "fax_number": "909-860-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 S PROSPECTORS RD STE B",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651615",
            "telephone_number": "213-388-5144",
            "fax_number": "213-388-5154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NXT IPA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-05",
        "last_updated": "2019-02-05",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-388-5144",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245273820",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NXT IPA INC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Diamond Bar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.