Active NPI
Bruce W Kovacs, M.D.
- Maternal & Fetal Medicine Physician
- Whittier, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- G42117
- Practice address
- 12401 Whittier Blvd
Whittier, CA 90602-1018 - Phone
- (562) 693-7778
- Fax
- (562) 693-3681
- NPI assigned
- Jun 22, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | G42117 | CA | Primary |
Addresses
Primary practice location
12401 Whittier Blvd
Whittier, CA 90602-1018
Mailing address
PO Box 3389
Seal Beach, CA 90740-2389
Phone (562) 773-3155
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G421170 | Medicaid | CA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42117 | CA | MD | General Practice Dentistry |
| G42117 | CA | MD | Maternal & Fetal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bruce W. Kovacs, MD Inc | Maternal & Fetal Medicine | Current | Accepting new patients |
| Keck Medical Center of Usc | Past | Accepting new patients | |
| Ahmc Whittier Hospital Medical Center LP | Past | Accepting new patients | |
| Pih Health Whittier Hospital | Past | Accepting new patients | |
| Usc Obstetricians and Gynecologists, Inc. | Maternal & Fetal Medicine | Past | Accepting new patients |
| Usc University Hospital, Inc. | Past | Accepting new patients | |
| Pih Health Good Samaritan Hospital | Past | Accepting new patients |
Locations
12555 Garden Grove Blvd
Ste 203
Garden Grove, CA 92843
Phone (562) 491-9809
12601 Garden Grove Blvd
Garden Grove, CA 92843
Phone (714) 537-5160
9200 Colima Rd
Ste 107
Whittier, CA 90605
Phone (562) 773-3155
12401 Washington Blvd
Whittier, CA 90602
Phone (562) 698-0611
9080 Colima Rd
Whittier, CA 90605
Phone (562) 907-1565
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Maternal & Fetal Medicine Physician
- Garden Grove, CA
- NPI 1821004623
-
- Medicare Defined Swing Bed Hospital Unit
- Whittier, CA
- NPI 1497855605
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1417554528
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1508859323
-
- General Acute Care Hospital
- Whittier, CA
- NPI 1043215379
-
- Obstetrics & Gynecology Physician
- Pasadena, CA
- NPI 1992740450
Maternal & Fetal Medicine
-
- Psychiatric Hospital Unit
- Los Angeles, CA
- NPI 1790718500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244419200000",
"number": "1629074976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3389",
"city": "SEAL BEACH",
"state": "CA",
"postal_code": "907402389",
"telephone_number": "562-773-3155",
"fax_number": "562-498-0205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12401 WHITTIER BLVD",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906021018",
"telephone_number": "562-693-7778",
"fax_number": "562-693-3681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOVACS",
"first_name": "BRUCE",
"middle_name": "W",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-22",
"last_updated": "2009-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "CA",
"license": "G42117",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G421170",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Whittier, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.