Active NPI
Mary Rei-CHI Tao, M.D.
- Pediatrics Physician
- Hacienda Heights, CA
National Provider Identifier
1710054036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A70229
- Practice address
- 15898 Gale Ave
Hacienda Heights, CA 91745-1601 - Phone
- (562) 867-7999
- NPI assigned
- Nov 30, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A70229 | CA | Primary |
Addresses
Primary practice location
15898 Gale Ave
Hacienda Heights, CA 91745-1601
Mailing address
15898 Gale Ave
Hacienda Heights, CA 91745-1601
Phone (562) 867-7999
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 |
|---|---|---|---|
| A70229 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JWCH Institute Inc | Current | Accepting new patients | |
| JWCH Institute Inc | Current | Accepting new patients | |
| JWCH Institute, Inc | Past | Accepting new patients |
Locations
5650 Jillson St
Commerce, CA 90040
Phone (213) 484-1186
15898 Gale Ave
Hacienda Heights, CA 91745
Phone (626) 346-3750
12360 Firestone Blvd
Norwalk, CA 90650
Phone (562) 281-0305
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.
-
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1407808058
-
- Federally Qualified Health Center (FQHC)
- Lancaster, CA
- NPI 1073209177
-
- Community Health Clinic/Center
- Hacienda Heights, CA
- NPI 1104274596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553472000000",
"number": "1710054036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15898 GALE AVE",
"city": "HACIENDA HEIGHTS",
"state": "CA",
"postal_code": "917451601",
"telephone_number": "562-867-7999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15898 GALE AVE",
"city": "HACIENDA HEIGHTS",
"state": "CA",
"postal_code": "917451601",
"telephone_number": "562-867-7999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAO",
"first_name": "MARY",
"middle_name": "REI-CHI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2019-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A70229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hacienda Heights, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; 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.