NPIMap

Organization Active NPI

Ahmc San Gabriel Valley Medical Center, LP

  • Pharmacy
  • San Gabriel, CA
National Provider Identifier
1679761910
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
AHMC SAN GABRIEL VALLEY MEDICAL CENTER, LP
Practice address
438 W Las Tunas Dr
San Gabriel, CA 91776-1216
Phone
(626) 289-5454
Fax
(626) 457-7153
NPI assigned
Oct 11, 2007
Last updated
Oct 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Authorized official

Name
Dr. Jonathan Y.H. Wu, M.D.
Title
President of Managing Member
Phone
(626) 293-5777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X CA Primary

Addresses

Primary practice location

438 W Las Tunas Dr
San Gabriel, CA 91776-1216

Mailing address

438 W Las Tunas Dr
San Gabriel, CA 91776-1216
Phone (626) 289-5454

National Provider Directory

National Provider Directory
Tax ID family
San Gabriel Valley Medical Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1679761910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 W LAS TUNAS DR",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761216",
            "telephone_number": "626-289-5454",
            "fax_number": "626-457-7153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 W LAS TUNAS DR",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761216",
            "telephone_number": "626-289-5454",
            "fax_number": "626-457-7153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHMC SAN GABRIEL VALLEY MEDICAL CENTER, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "Y.H.",
        "authorized_official_title_or_position": "PRESIDENT OF MANAGING MEMBER",
        "authorized_official_telephone_number": "626-293-5777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Gabriel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.