Organization Active NPI

Wellcare Physicians Group

  • Internal Medicine Physician
  • Livermore, CA
National Provider Identifier
1396221693
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
WELLCARE PHYSICIANS GROUP
Practice address
3356 East Ave
Livermore, CA 94550-4744
Phone
(530) 451-6609
NPI assigned
Jul 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Authorized official

Name
Mr. Huaming Chou, MD
Title
Chief Executive Officer
Phone
(707) 334-7264

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

3356 East Ave
Livermore, CA 94550-4744

Mailing address

1325 Howard Ave # 828
Burlingame, CA 94010-4212

National Provider Directory

National Provider Directory

Locations

1325 Howard Ave
Burlingame, CA 94010
Phone (512) 659-7818

3356 East Ave
Livermore, CA 94550
Phone (530) 451-6609

NPI Registry JSON

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1396221693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 HOWARD AVE # 828",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940104212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3356 EAST AVE",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504744",
            "telephone_number": "530-451-6609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLCARE PHYSICIANS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-19",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "CHOU",
        "authorized_official_first_name": "HUAMING",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "707-334-7264",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livermore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.