Active NPI
The West Covina Kids Doc ,Apmc
- Pediatrics Physician
- West Covina, CA
National Provider Identifier
1376676403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- THE WEST COVINA KIDS DOC ,APMC
- Practice address
- 933 S Sunset Ave
Suite # 101
West Covina, CA 91790-3410 - Phone
- (626) 919-5437
- Fax
- (626) 919-5439
- NPI assigned
- Mar 14, 2007
- Organization subpart
- Yes
- Parent organization
- THE KIDS DOC APMC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Pankaj N Mistry, MD
- Title
- President,Ceo
- Phone
- (626) 919-5437
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
933 S Sunset Ave
Suite # 101
West Covina, CA 91790-3410
Mailing address
PO Box 4219
West Covina, CA 91791-0219
Phone (626) 919-5437
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366518342 | Other | CA | NPI NUMBER |
National Provider Directory
National Provider Directory- Part of
- The West Covina Kids Doc Apmc
Locations
933 S Sunset Ave
Ste 101
West Covina, CA 91790
Phone (626) 480-0160
1424 S Azusa Ave
West Covina, CA 91791
Phone (626) 856-1464
Practitioners & affiliated clinicians
Practitioners 1
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": "1173830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1330041600000",
"number": "1376676403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4219",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917910219",
"telephone_number": "626-919-5437",
"fax_number": "626-919-5439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "933 S SUNSET AVE",
"address_2": "SUITE # 101",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917903410",
"telephone_number": "626-919-5437",
"fax_number": "626-919-5439"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE WEST COVINA KIDS DOC ,APMC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "THE KIDS DOC APMC",
"enumeration_date": "2007-03-14",
"last_updated": "2012-02-24",
"status": "A",
"authorized_official_last_name": "MISTRY",
"authorized_official_first_name": "PANKAJ",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "PRESIDENT,CEO",
"authorized_official_telephone_number": "626-919-5437",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI NUMBER",
"identifier": "1366518342",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.