Organization Active NPI

Arcadia Primary Care Physicians Medical Corporation

  • Family Medicine Physician
  • Arcadia, CA
National Provider Identifier
1508897752
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A38922 Issued in CA
Legal business name
ARCADIA PRIMARY CARE PHYSICIANS MEDICAL CORPORATION
Practice address
1505 S Baldwin Ave # B
Arcadia, CA 91007-7925
Phone
(626) 445-1556
Fax
(626) 574-9059
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Authorized official

Name
Dr. Glenn Michael Ho, MDNPI 1841472511
Title
Ceo
Phone
(626) 445-1556

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A38922 CA Primary

Addresses

Primary practice location

1505 S Baldwin Ave # B
Arcadia, CA 91007-7925

Mailing address

1505 S Baldwin Ave # B
Arcadia, CA 91007-7925
Phone (626) 445-1556

Other identifiers 1

IdentifierTypeStateIssuer
00A389220MedicaidCA

Other names 1

  • ARCADIA FAMILY PHYSICIANS Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050614001477 CA Part B Supplier - Clinic/Group Practice 3173567773 Receives reassigned benefits from 1 practitioner
Practice locations: Arcadia, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0555336Arcadia Primary Care Physicians1505 S Baldwin Avenue #B, Arcadia, CA 91007Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1508897752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 S BALDWIN AVE # B",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077925",
            "telephone_number": "626-445-1556",
            "fax_number": "626-574-9059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 S BALDWIN AVE # B",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077925",
            "telephone_number": "626-445-1556",
            "fax_number": "626-574-9059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCADIA PRIMARY CARE PHYSICIANS MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "HO",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-445-1556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A38922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A389220",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARCADIA FAMILY PHYSICIANS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.