Individual provider Active NPI

Hau Shan Kwong

  • Family Nurse Practitioner
  • Alhambra, CA
National Provider Identifier
1740528082
Registry record updated May 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
584306 Issued in CA
Practice address
509 N Cordova St
Alhambra, CA 91801-2714
Phone
(626) 320-6023
NPI assigned
Jan 22, 2013
Last updated
May 12, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA19111 CA
Family Nurse Practitioner 363LF0000X 584306 CA Primary

Addresses

Primary practice location

509 N Cordova St
Alhambra, CA 91801-2714

Mailing address

1740 New Ave
Suite 101
San Gabriel, CA 91776-3735
Phone (626) 320-6023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PA19111CAMDPhysician Assistant
584306CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Green Pine Home Health Care Services, Inc Current Accepting new patients

Locations

1740 New Ave
Ste 101
San Gabriel, CA 91776
Phone (626) 320-6023

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1358812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399852800000",
    "number": "1740528082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 NEW AVE",
            "address_2": "SUITE 101",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763735",
            "telephone_number": "626-320-6023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 N CORDOVA ST",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918012714",
            "telephone_number": "626-320-6023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWONG",
        "first_name": "HAU SHAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-22",
        "last_updated": "2014-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA19111",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "584306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2014; 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.