Individual provider Active NPI

Mary Rei-CHI Tao, M.D.

  • Pediatrics Physician
  • Hacienda Heights, CA
National Provider Identifier
1710054036
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A70229 Issued in CA
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

Updated by the provider on Mar 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191212002423 CA Practitioner - Pediatric Medicine 6901239599 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A70229CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
JWCH Institute Inc CurrentSince Oct 13, 2019 Accepting new patients
JWCH Institute Inc CurrentSince Oct 13, 2019 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.

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

Verify at the official NPI Registry.