Julius C Kpaduwa Medical Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

License

G51500 Issued in CA

Legal business name

JULIUS C KPADUWA MEDICAL CORPORATION

Practice address

11036 Valley Mall
El Monte, CA 91731-2617

Phone

(626) 575-8342

NPI assigned

Jan 8, 2007

Last updated

Apr 15, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Julius C KpaduwaNPI 1578630125

Title

M.D.

Phone

(626) 330-9535

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• MOTHER AND CHILD HEALTH CENTER Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Julius C Kpaduwa Medical Corporation

  • Obstetrics Physician
  • City of Industry, CA
  • NPI 1790975258

  O20100414000982

  Same enrollment
• Julius C. Kpaduwa Medical Corporation

  dba Mother and Child Health Center

  • Specialist
  • La Puente, CA
  • NPI 1780733048

  O20100414000982

  Same enrollment

Locations

Practitioners 3

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.

• Julius C Kpaduwa, MD

  • Obstetrics & Gynecology Physician
  • El Monte, CA
  • NPI 1578630125
  NPD Authorized official
• Elizabeth Gallegos Bautista, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Duarte, CA
  • NPI 1609172303
  NPD (past)
• Stella Obiageri Kpaduwa, M.D.

  • Pediatrics Physician
  • City of Industry, CA
  • NPI 1992872550
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271289600000",
    "number": "1396893723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16008 AMAR RD",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917442203",
            "telephone_number": "626-330-9535",
            "fax_number": "626-330-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11036 VALLEY MALL",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312617",
            "telephone_number": "626-575-8342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIUS C KPADUWA MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2010-04-15",
        "status": "A",
        "authorized_official_last_name": "KPADUWA",
        "authorized_official_first_name": "JULIUS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "626-330-9535"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G51500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M.D",
            "identifier": "G51500",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0085701",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M.D",
            "identifier": "A56261",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOTHER AND CHILD HEALTH CENTER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Specialist in El Monte, CA
• Providers in El Monte, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2010; 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.