The West Covina Kids Doc ,Apmc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

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

Last updated

Feb 24, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

THE KIDS DOC APMCAs reported in NPPES

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

Authorized official

Name

Dr. Pankaj N Mistry, MDNPI 1366518342

Title

President,Ceo

Phone

(626) 919-5437

Specialties & licenses 1

Addresses

Part of

The West Covina Kids Doc Apmc

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.

• Pankaj Nanubhai Mistry, M.D.

  • Pediatrics Physician
  • West Covina, CA
  • NPI 1366518342

  Single Specialty

  NPD (past) Authorized official

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": [],
    "endpoints": [],
    "other_names": []
}

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• Thomas K Moe DDS Inc
• Thomas V Deguzman, PT, a Professional Corp (Preferred Rehab Center)
• Madeline Thomas
• Thompson, Crawford, Stewart, and Lee,
• Gayle Linda Thompson, MSW

• Pediatrics Physician in West Covina, CA
• Providers in West Covina, CA by specialty
• Pediatrics Physician in California

• 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.

Verify at the official NPI Registry.