Advance Care Aaa Medical Group Inc
Organization Active NPI Family Medicine Physician · Rowland Heights, CA
NPI 1679582829 · NPPES record last updated Jul 28, 2016
Key facts
- NPI
- 1679582829
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- A60067 (CA)
- Legal business name
- ADVANCE CARE AAA MEDICAL GROUP INC
- Practice address
- 1330 Fullerton Rd Ste 288
Rowland Heights, CA 91748-1246 - Phone
- (626) 965-1233
- NPI assigned
- Aug 5, 2006
- Organization subpart
- No
Authorized official
- Name
- Gene Tu, M.D.
- Title
- President/Physician
- Phone
- (626) 347-7501
Practitioners 1
-
Gene Chang Tu, MD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0980905 | Advance Care Aaa Medical Group | Certificate of waiver | Nov 20, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161028000535 | CA | Part B Supplier - Clinic/Group Practice | 5193003036 |
Receives reassigned benefits from 1 practitioner Practice locations: Rowland Heights, CA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | A60067 | CA | Yes |
Addresses
Primary practice location
1330 Fullerton Rd Ste 288
Rowland Heights, CA 91748-1246
Mailing address
1330 Fullerton Rd Ste 288
Rowland Heights, CA 91748-1246
Phone (626) 965-1233
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.