Individual provider Active NPI

Maita Siti Kuvhenguhwa, M.D.

  • Infectious Disease Physician
  • Compton, CA
National Provider Identifier
1467795203
Registry record updated Aug 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
A132619 Issued in CA
Practice address
2251 W Rosecrans Ave Ste 18-21
Compton, CA 90222
Phone
(424) 529-6755
Fax
(424) 296-3953
NPI assigned
Mar 29, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A132619 CA
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X A132619 CA Primary

Addresses

Primary practice location

2251 W Rosecrans Ave Ste 18-21
Compton, CA 90222

Mailing address

2251 W Rosecrans Ave Ste 18-21
Compton, CA 90222-3858
Phone (424) 529-6755

Other practice location 1

1000 W Carson St
Harbor-UCLA Medical Ctr
Torrance, CA 90502-2004
Phone (310) 222-3813

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
I20180619003153 CA Practitioner - Infectious DiseasePractitioner - Internal Medicine 7012262819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
University of California, Geffen School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Martin Luther King Jr Community Medical FoundationGroup PAC ID 8628359502, 193 clinicians

Practice addresses (Care Compare)

135 E Compton Blvd
Compton, CA 90220-2410
Phone (424) 338-8790

2215 W Rosecrans Ave
Compton, CA 90222-3856

Hospital & facility affiliations

  • Martin Luther King, Jr. Community Hospital Hospital, Los Angeles, CA, CCN 050779

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A132619CAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Luther King Jr Community Medical Foundation Multi-Specialty CurrentSince Aug 1, 2018 Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince Aug 1, 2018 Accepting new patients
Martin Luther King, Jr. - Los Angeles (MLK-la) Healthcare Corporation Multi-Specialty Past Accepting new patients

Locations

2251 W Rosecrans Ave
Ste 1821
Compton, CA 90222
Phone (424) 338-8675

2251 W Rosecrans Ave
Ste 21
Compton, CA 90222
Phone (424) 338-8792

2215 W Rosecrans Ave
Ste 22
Compton, CA 90222
Phone (424) 529-6755

135 E Compton Blvd
Compton, CA 90220
Phone (424) 296-3800

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1364515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533168000000",
    "number": "1467795203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2251 W ROSECRANS AVE STE 18-21",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902223858",
            "telephone_number": "424-529-6755",
            "fax_number": "424-296-3953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2251 W ROSECRANS AVE STE 18-21",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "90222",
            "telephone_number": "424-529-6755",
            "fax_number": "424-296-3953"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 W Carson St",
            "address_2": "Harbor-UCLA Medical Ctr",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905022004",
            "country_code": "US",
            "telephone_number": "310-222-3813",
            "fax_number": "310-782-2016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUVHENGUHWA",
        "first_name": "MAITA",
        "middle_name": "SITI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-29",
        "last_updated": "2018-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A132619",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "A132619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Compton, CA

Sources for this page

Verify at the official NPI Registry.