Organization Active NPI

Ichimi Doushin Resources, Inc.

  • Primary Care Clinic/Center
  • City of Industry, CA
National Provider Identifier
1598066581
Registry record updated Mar 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ICHIMI DOUSHIN RESOURCES, INC.
Practice address
18605 Gale Ave Ste 240
City of Industry, CA 91748-1361
Phone
(626) 581-1282
Fax
(888) 491-5175
NPI assigned
Nov 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2018

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

Authorized official

Name
Dr. Xavier Jajin Hsieh, D.O.NPI 1073713616
Title
President
Phone
(626) 581-1282

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
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

18605 Gale Ave Ste 240
City of Industry, CA 91748-1361

Mailing address

18605 Gale Ave Ste 240
City of Industry, CA 91748-1361
Phone (626) 581-1282

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101215000293 CA Part B Supplier - Clinic/Group Practice 6507053642 Receives reassigned benefits from 2 practitioners
Practice locations: City of Industry, CA

National Provider Directory

National Provider Directory

Locations

18558 Gale Ave
Ste 200
City of Industry, CA 91748
Phone (626) 581-1282

19119 Colima Rd
Ste 112
Rowland Heights, CA 91748

Practitioners & affiliated clinicians

Practitioners 2

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": "1289174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522195200000",
    "number": "1598066581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18605 GALE AVE STE 240",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917481361",
            "telephone_number": "626-581-1282",
            "fax_number": "888-491-5175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18605 GALE AVE STE 240",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917481361",
            "telephone_number": "626-581-1282",
            "fax_number": "888-491-5175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICHIMI DOUSHIN RESOURCES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-08",
        "last_updated": "2018-03-28",
        "status": "A",
        "authorized_official_last_name": "HSIEH",
        "authorized_official_first_name": "XAVIER",
        "authorized_official_middle_name": "JAJIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-581-1282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in City of Industry, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; 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.