Individual provider Active NPI

Terry Kuo, M.D.

  • Internal Medicine Physician
  • Monterey Park, CA
National Provider Identifier
1477637049
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G077602 Issued in CA
Practice address
880 S Atlantic Blvd Ste 101
Monterey Park, CA 91754-4772
Phone
(626) 281-6969
Fax
(626) 281-2089
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G077602 CA Primary

Addresses

Primary practice location

880 S Atlantic Blvd Ste 101
Monterey Park, CA 91754-4772

Mailing address

880 S Atlantic Blvd Ste 101
Monterey Park, CA 91754-4772
Phone (626) 281-6969

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

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
I20121119000357 CA Practitioner - Internal Medicine 7618911033 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Wisconsin, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9333 Rosecrans Ave
Bellflower, CA 90706-2141
Phone (562) 461-3000

9449 Imperial Hwy
Downey, CA 90242-2814
Phone (562) 461-3000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G077602CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Affiliates Medical Group Internal Medicine CurrentSince Aug 25, 2012 Accepting new patients
Southern California Permanente Medical Group CurrentSince Aug 16, 2016 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Aug 25, 2012 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Southern California Permanente Medical Group CurrentSince Aug 16, 2016 Accepting new patients

Locations

9333 Rosecrans Ave
Bellflower, CA 90706
Phone (562) 461-3340

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

9333 Imperial Hwy
Downey, CA 90242
Phone (562) 657-8850

5001 Lakewood Blvd
Lakewood, CA 90712
Phone (562) 361-5650

3932 Long Beach Blvd
#B
Long Beach, CA 90807
Phone (562) 321-6800

1025 W Olympic Blvd
Los Angeles, CA 90015
Phone (213) 623-2225

2601 Via Campo
Montebello, CA 90640
Phone (323) 720-1144

880 S Atlantic Blvd
Ste 101
Monterey Park, CA 91754
Phone (626) 281-6969

393 E Walnut St
Unit 3RD
Pasadena, CA 91188
Phone (626) 405-7914

601 Torrance Blvd
#1182
Redondo Beach, CA 90277

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1477637049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 S ATLANTIC BLVD STE 101",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917544772",
            "telephone_number": "626-281-6969",
            "fax_number": "626-281-2089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 S ATLANTIC BLVD STE 101",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917544772",
            "telephone_number": "626-281-6969",
            "fax_number": "626-281-2089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUO",
        "first_name": "TERRY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G077602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "9333 Imperial Hwy",
            "city": "Downey",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902422812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

Verify at the official NPI Registry.