Eric Chwa

Organization Active NPI Internal Medicine Physician · Arcadia, CA

NPI 1710066337 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1710066337
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
License
A49506 (CA)
Legal business name
ERIC CHWA
Practice address
632 W Duarte Rd
180
Arcadia, CA 91007-7608
Phone
(626) 821-6411
Fax
(626) 821-6414
NPI assigned
Nov 3, 2006
Organization subpart
No

Authorized official

Name
Eric M Chwa, M.D NPI 1962433607
Title
Physician
Phone
(626) 821-6411

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207R00000X A49506 CA Yes

Addresses

Primary practice location

632 W Duarte Rd
180
Arcadia, CA 91007-7608

Mailing address

632 W Duarte Rd
180
Arcadia, CA 91007-7608
Phone (626) 821-6411

Other identifiers

IdentifierTypeStateIssuer
00A495061MedicaidCA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710066337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 W DUARTE RD",
            "address_2": "180",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077608",
            "telephone_number": "626-821-6411",
            "fax_number": "626-821-6414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 W DUARTE RD",
            "address_2": "180",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077608",
            "telephone_number": "626-821-6411",
            "fax_number": "626-821-6414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC CHWA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHWA",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "626-821-6411",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A49506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A495061",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

All providers in Arcadia, CA · Internal Medicine Physician in California

Sources for this page

Verify at the official NPI Registry.