Organization Active NPI

Hubert W Chow MD Inc

  • Primary Care Clinic/Center
  • San Gabriel, CA
National Provider Identifier
1750475372
Registry record updated Jan 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
G45435 Issued in CA
Legal business name
HUBERT W CHOW MD INC
Practice address
1111 E. Las Tunas Drive
San Gabriel, CA 91776
Phone
(626) 286-8473
Fax
(626) 286-4181
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2018

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

Authorized official

Name
Dr. Hubert Wing Chow, M.D.NPI 1669697686
Title
Physician
Phone
(626) 286-8473

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X G45435 CA Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

1111 E. Las Tunas Drive
San Gabriel, CA 91776

Mailing address

1111 E. Las Tunas Drive
San Gabriel, CA 91776
Phone (626) 286-8473

Other identifiers 1

IdentifierTypeStateIssuer
00G454350MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121011000809 CA Part B Supplier - Clinic/Group Practice 0840449641 Receives reassigned benefits from 1 practitioner
Practice locations: San Gabriel, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0564427Hubert W Chow MD1111 E Las Tunas Drive, San Gabriel, CA 91776Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

1111 E Las Tunas Dr
San Gabriel, CA 91776
Phone (626) 286-3323

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": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515542400000",
    "number": "1750475372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 E. LAS TUNAS DRIVE",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "91776",
            "telephone_number": "626-286-8473",
            "fax_number": "626-286-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 E. LAS TUNAS DRIVE",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "91776",
            "telephone_number": "626-286-8473",
            "fax_number": "626-286-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUBERT W CHOW MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2018-01-10",
        "status": "A",
        "authorized_official_last_name": "CHOW",
        "authorized_official_first_name": "HUBERT",
        "authorized_official_middle_name": "WING",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "626-286-8473",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "G45435",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G454350",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Gabriel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.