Colima Medical Clinic PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A67423 Issued in CA

Legal business name

COLIMA MEDICAL CLINIC PC

Practice address

1850 S Azusa Ave
Suite 205
Hacienda Heights, CA 91745

Phone

(626) 964-2880

Fax

(626) 964-2834

NPI assigned

Sep 7, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Liji Liu

Title

Secretary

Phone

(626) 964-2880

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 7

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

• Albert Bui, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Hacienda Heights, CA
  • NPI 1548536188
  Medicare reassignment Care Compare group NPD
• Julia Aurora Kao, M.D.

  • Internal Medicine Physician
  • Downey, CA
  • NPI 1669762233
  Medicare reassignment Care Compare group NPD
• Ron Y Gu, MD

  • Internal Medicine Physician
  • Hacienda Heights, CA
  • NPI 1851494215
  Medicare reassignment Care Compare group
• Wendy Gu, M.D.

  • Internal Medicine Physician
  • Hacienda Heights, CA
  • NPI 1740579994
  Medicare reassignment Care Compare group
• George I Lin, MD

  • Family Medicine Physician
  • Hacienda Heights, CA
  • NPI 1679676035
  Medicare reassignment Care Compare group
• Jane S Gu, MD

  • Pediatrics Physician
  • Hacienda Heights, CA
  • NPI 1023124096
  Medicare reassignment NPD
• Charles C. Hsu, M.D.

  • Family Medicine Physician
  • Fontana, CA
  • NPI 1316095292
  Medicare reassignment NPD

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290038400000",
    "number": "1760585129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 S AZUSA AVE",
            "address_2": "SUITE 205",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "91745",
            "telephone_number": "626-964-2880",
            "fax_number": "626-964-2834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 S AZUSA AVE",
            "address_2": "SUITE 205",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "91745",
            "telephone_number": "626-964-2880",
            "fax_number": "626-964-2834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLIMA MEDICAL CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2010-11-18",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "LIJI",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "626-964-2880",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A67423",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A37924",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A37925",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0069010",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ellie Yu-Rim Chung, DDS
• Anthony Cintron-Lopez
• Cynthia Marie Claytor, NP
• Jordan Bernard Cohen, DC
• Cory Colbert
• Corrine Colorado, LMT
• Stephanie Corona
• Melissa Corral Guerrero
• Joanne Cosina
• Mallory Covarrubias

• Family Medicine Physician in Hacienda Heights, CA
• Providers in Hacienda Heights, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; 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.