Organization Active NPI

Garvey Healthy Family Medical Clinic, Inc

  • Internal Medicine Physician
  • Monterey Park, CA
National Provider Identifier
1740299833
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A052220 Issued in CA
Legal business name
GARVEY HEALTHY FAMILY MEDICAL CLINIC, INC
Practice address
705 E Garvey Ave
Monterey Park, CA 91755-3024
Phone
(626) 312-5488
Fax
(626) 312-5455
NPI assigned
Aug 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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

Authorized official

Name
Dr. Maung Maung Oo, M.D.
Title
President
Phone
(626) 312-5488

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X A052220 CA Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X A54127 CA

Addresses

Primary practice location

705 E Garvey Ave
Monterey Park, CA 91755-3024

Mailing address

705 E Garvey Ave
Monterey Park, CA 91755-3024
Phone (626) 312-5488

Other identifiers 1

IdentifierTypeStateIssuer
00A522200MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050321001021 CA Part B Supplier - Clinic/Group Practice 3173578275 Receives reassigned benefits from 1 practitioner
Practice locations: Monterey Park, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1740299833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 E GARVEY AVE",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917553024",
            "telephone_number": "626-312-5488",
            "fax_number": "626-312-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 E GARVEY AVE",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917553024",
            "telephone_number": "626-312-5488",
            "fax_number": "626-312-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARVEY HEALTHY FAMILY MEDICAL CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "OO",
        "authorized_official_first_name": "MAUNG",
        "authorized_official_middle_name": "MAUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-312-5488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A052220",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A54127",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A522200",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.