Individual provider Active NPI

William A Chua, M.D.

  • Hematology & Oncology Physician
  • Montebello, CA
National Provider Identifier
1639199656
Registry record updated Jan 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
A34309 Issued in CA
Practice address
3111 W Beverly Blvd
Montebello, CA 90640-2216
Phone
(323) 728-0671
Fax
(323) 728-8355
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X A34309 CA Primary

Addresses

Primary practice location

3111 W Beverly Blvd
Montebello, CA 90640-2216

Mailing address

3111 W Beverly Blvd
Montebello, CA 90640-2216
Phone (323) 728-0671

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
I20130308000401 CA Practitioner - Internal MedicinePractitioner - HematologyPractitioner - Hematology/Oncology 1658526082 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hematology/Oncology
Education
Other, 1972
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Legacy Marketing Worldwide IncGroup PAC ID 3072819945, 5 clinicians
Perpetual Mobile Medical Group IncGroup PAC ID 3779951165, 3 clinicians

Practice addresses (Care Compare)

3111 W Beverly Blvd
Montebello, CA 90640-2216
Phone (323) 728-0671

5015 Eagle Rock Blvd
Los Angeles, CA 90041-2087
Phone (747) 300-7541

Hospital & facility affiliations

  • Logos Home Health Care Home health agency, Burbank, CA, CCN 559155
  • NCM Care Home Health, LLC Home health agency, Burbank, CA, CCN 559439
  • Constellation Home Health Services, LLC Home health agency, Northridge, CA, CCN 553137
  • Alphamed Home Health Home health agency, Chatsworth, CA, CCN 757184
  • Prominent Home Health Care, Inc Home health agency, Valencia, CA, CCN 553133
  • San Gabriel Valley Medical Center Hospital, San Gabriel, CA, CCN 050132
  • Broadway Healthcare Center Nursing home, San Gabriel, CA, CCN 056201

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A34309CAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chua Chuang Inc. a Medical Hematology & Oncology CurrentSince Nov 4, 2012 Accepting new patients
Perpetual Mobile Medical Group Inc CurrentSince Aug 15, 2022 Accepting new patients
Legacy Marketing Worldwide Inc. CurrentSince Jun 25, 2021 Accepting new patients

Locations

1200 E Route 66
Ste 102
Glendora, CA 91740
Phone (213) 567-4520

5015 Eagle Rock Blvd
Ste 200
Los Angeles, CA 90041
Phone (323) 455-4868

3111 W Beverly Blvd
Montebello, CA 90640
Phone (323) 728-0671

600 N Garfield Ave
Ste 108
Monterey Park, CA 91754
Phone (626) 288-3828

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264377600000",
    "number": "1639199656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 W BEVERLY BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906402216",
            "telephone_number": "323-728-0671",
            "fax_number": "323-728-8355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 W BEVERLY BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906402216",
            "telephone_number": "323-728-0671",
            "fax_number": "323-728-8355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUA",
        "first_name": "WILLIAM",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2010-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A34309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montebello, CA

Sources for this page

Verify at the official NPI Registry.