Justin Uchida, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA20042 Issued in CA

Practice address

815 W. Washington Blvd.
Montebello, CA 90640-6123

Phone

(323) 728-3955

Fax

(323) 728-6905

NPI assigned

Nov 14, 2008

Last updated

Oct 28, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Family Care Specialists Medical CorporationGroup PAC ID 6709834112, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: justin.uchida.2@24668.direct.athenahealth.com

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

• Family Care Specialists Medical Corporation

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1649223777
  Medicare reassignment Care Compare group NPD (past)

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

{
    "created_epoch": "1226620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288224000000",
    "number": "1558515742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 W. WASHINGTON BLVD.",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906406123",
            "telephone_number": "323-728-3955",
            "fax_number": "323-728-6905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 W. WASHINGTON BLVD.",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906406123",
            "telephone_number": "323-728-3955",
            "fax_number": "323-728-6905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UCHIDA",
        "first_name": "JUSTIN",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-14",
        "last_updated": "2010-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA20042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mai To Truong, O.D.
• Victor Thanh Truong
• Tsai & Snowden, Esthetic Partners Dental Group
• Minette Tsang, OD
• Kevin Tygard
• Jasmine S Uitz
• Louie Shon Ulloa
• Ultimate Recovery Center LLC
• Suk Sang Samuel Um, ACUPUNCTURE
• Alvin W. Ung, D.P.M.

• Medical Physician Assistant in Montebello, CA
• Providers in Montebello, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.