Organization Active NPI

Whittier Sunlite Health Center, a Medical Corporation, PC

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1528887908
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WHITTIER SUNLITE HEALTH CENTER, A MEDICAL CORPORATION, PC
Practice address
3712 Whittier Blvd Ste B
Los Angeles, CA 90023-1733
Phone
(323) 406-2297
Fax
(213) 466-2906
NPI assigned
Oct 3, 2024
Last updated
Oct 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Authorized official

Name
Mr. William Chu, PHYSICIAN ASSOCIATENPI 1043227804
Title
Ceo
Phone
(323) 406-2297

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 Physician 207Q00000X NU Primary

Addresses

Primary practice location

3712 Whittier Blvd Ste B
Los Angeles, CA 90023-1733

Mailing address

3712 Whittier Blvd Ste B
Los Angeles, CA 90023-1733
Phone (323) 406-2297

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250224001892 CA Part B Supplier - Clinic/Group Practice 6305366170 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

3712 Whittier Blvd
Ste B
Los Angeles, CA 90023
Phone (323) 406-2297

Practitioners & affiliated clinicians

Practitioners 2

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": "1727913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1528887908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3712 WHITTIER BLVD STE B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900231733",
            "telephone_number": "323-406-2297",
            "fax_number": "213-466-2906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3712 WHITTIER BLVD STE B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900231733",
            "telephone_number": "323-406-2297",
            "fax_number": "213-466-2906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITTIER SUNLITE HEALTH CENTER, A MEDICAL CORPORATION, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "CHU",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-406-2297",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHYSICIAN ASSOCIATE"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.