Individual provider Active NPI

Julius C Kpaduwa, MD

  • Obstetrics & Gynecology Physician
  • El Monte, CA
National Provider Identifier
1578630125
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
651500 Issued in CA
Practice address
11036 Valley Mall
El Monte, CA 91731
Phone
(626) 575-8342
Fax
(626) 575-1237
NPI assigned
Nov 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 651500 CA Primary

Addresses

Primary practice location

11036 Valley Mall
El Monte, CA 91731

Mailing address

2249 Indian Creek Rd
Diamond Bar, CA 91765

Other identifiers 1

IdentifierTypeStateIssuer
GR0085701MedicaidCA

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
I20100421000677 CA Practitioner - Obstetrics/Gynecology 9537148218 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Howard University College of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15913 Amar Rd
La Puente, CA 91744-2202
Phone (626) 330-9535

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
651500CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Julius C Kpaduwa Medical Corporation CurrentSince Nov 22, 2008 Accepting new patients
Julius C Kpaduwa Medical Corporation CurrentSince Feb 1, 2016 Accepting new patients
Julius C. Kpaduwa Medical Corporation CurrentSince Nov 22, 2008 Accepting new patients
Ahmc Whittier Hospital Medical Center LP Past Accepting new patients
Ahmc Monterey Park Hospital LP Past Accepting new patients
Julius C. Kpaduwa Medical Corporation Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients
Ahmc Greater El Monte Comm Hosp LLC Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients

Locations

11017 Main St
El Monte, CA 91731

11036 Main St
El Monte, CA 91731

15913 Amar Rd
Unit A
La Puente, CA 91744

15913 Amar Rd
La Puente, CA 91744
Phone (626) 330-9535

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578630125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2249 INDIAN CREEK RD",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "91765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11036 VALLEY MALL",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "91731",
            "telephone_number": "626-575-8342",
            "fax_number": "626-575-1237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KPADUWA",
        "first_name": "JULIUS",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "651500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0085701",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Monte, CA

Sources for this page

Verify at the official NPI Registry.