Organization Active NPI

Eduardo a Tovar, M.D. a Medical Corp

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Whittier, CA
National Provider Identifier
1417074683
Registry record updated Oct 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
A38670 Issued in CA
Legal business name
EDUARDO A TOVAR, M.D. A MEDICAL CORP
Practice address
12462 Putnam St.
Suite 200
Whittier, CA 90602-1002
Phone
(562) 789-5489
Fax
(562) 907-2492
NPI assigned
Mar 23, 2007
Last updated
Oct 8, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2009

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

Authorized official

Name
Eduardo A Tovar, M.D.NPI 1598766446
Title
President
Phone
(562) 789-5489

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A38670 CA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X A38670 CA Primary

Addresses

Primary practice location

12462 Putnam St.
Suite 200
Whittier, CA 90602-1002

Mailing address

12462 Putnam St.
Suite 200
Whittier, CA 90602-1002
Phone (562) 789-5489

Other identifiers 5

IdentifierTypeStateIssuer
CGP168215MedicaidCA
P00012268OtherCARAILROAD MEDICARE
00A386700MedicaidCA
1417074683MedicaidCA
W21668OtherCAMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

12291 Washington Blvd
Ste 302
Whittier, CA 90606
Phone (562) 789-5489

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254960000000",
    "number": "1417074683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12462 PUTNAM ST.",
            "address_2": "SUITE 200",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906021002",
            "telephone_number": "562-789-5489",
            "fax_number": "562-907-2492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12462 PUTNAM ST.",
            "address_2": "SUITE 200",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906021002",
            "telephone_number": "562-789-5489",
            "fax_number": "562-907-2492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDUARDO A TOVAR, M.D. A MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2009-10-08",
        "status": "A",
        "authorized_official_last_name": "TOVAR",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-789-5489",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A38670",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "A38670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CGP168215",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00012268",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A386700",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417074683",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "W21668",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2009; 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.