Individual provider Active NPI

Wendell T. W. Ching, MD

  • VA Clinic/Center
  • North Hills, CA
National Provider Identifier
1457389421
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
VA Clinic/CenterTaxonomy code 261QV0200X
License
G53508 Issued in CA
Practice address
16111 Plummer St
Oopr
North Hills, CA 91343-2036
Phone
(818) 895-9400
NPI assigned
Jun 29, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
VA Clinic/Center 261QV0200X G53508 CA Primary

Addresses

Primary practice location

16111 Plummer St
Oopr
North Hills, CA 91343-2036

Mailing address

6850 Sepulveda Blvd
Suite 210
Van Nuys, CA 91405-4444
Phone (818) 781-5195

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130510000260 CA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 0749427714

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G53508CAMDVA Clinic/Center

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457389421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6850 SEPULVEDA BLVD",
            "address_2": "SUITE 210",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054444",
            "telephone_number": "818-781-5195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16111 PLUMMER ST",
            "address_2": "OOPR",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913432036",
            "telephone_number": "818-895-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHING",
        "first_name": "WENDELL",
        "middle_name": "T. W.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": "CA",
            "license": "G53508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hills, CA

Sources for this page

Verify at the official NPI Registry.