Organization Active NPI

Wilshire Orthopaedic and Medical Associates Inc

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1639224306
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
WILSHIRE ORTHOPAEDIC AND MEDICAL ASSOCIATES INC
Practice address
637 South Lucas Avenue
Ste 205
Los Angeles, CA 90017-1912
Phone
(213) 250-9900
Fax
(213) 250-9380
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Peter P Chao
Title
Office Administrator
Phone
(213) 250-9900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X

Addresses

Primary practice location

637 South Lucas Avenue
Ste 205
Los Angeles, CA 90017-1912

Mailing address

637 South Lucas Avenue
Ste 205
Los Angeles, CA 90017-1912
Phone (213) 250-9900

Other names 1

  • L A Wilshire Orthopaedic And Medical Associates Inc Doing business as

National Provider Directory

National Provider Directory

Locations

3610 Long Beach Blvd
Ste 101
Long Beach, CA 90807
Phone (562) 424-0421

Practitioners & affiliated clinicians

Practitioners 1

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": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1639224306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 SOUTH LUCAS AVENUE",
            "address_2": "STE 205",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900171912",
            "telephone_number": "213-250-9900",
            "fax_number": "213-250-9380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 SOUTH LUCAS AVENUE",
            "address_2": "STE 205",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900171912",
            "telephone_number": "213-250-9900",
            "fax_number": "213-250-9380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSHIRE ORTHOPAEDIC AND MEDICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CHAO",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "213-250-9900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "L A Wilshire Orthopaedic And Medical Associates Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.