Julius C Kpaduwa Medical Corporation

Primary specialty

Obstetrics PhysicianTaxonomy code 207VX0000X

License

G51500 Issued in CA

Legal business name

JULIUS C KPADUWA MEDICAL CORPORATION

Practice address

16008 Amar Rd
City of Industry, CA 91744-2203

Phone

(626) 330-9535

Fax

(626) 330-2661

NPI assigned

Jul 30, 2007

Last updated

Apr 19, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Julius C Kpaduwa, MDNPI 1578630125

Title

MD

Phone

(626) 454-1801

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• MOTHER AND CHILD HEALTH CENTER Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Julius C Kpaduwa Medical Corporation

  • Specialist
  • El Monte, CA
  • NPI 1396893723

  O20100414000982

  Same enrollment
• Julius C. Kpaduwa Medical Corporation

  dba Mother and Child Health Center

  • Specialist
  • La Puente, CA
  • NPI 1780733048

  O20100414000982

  Same enrollment

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Julius C Kpaduwa, MD

  • Obstetrics & Gynecology Physician
  • El Monte, CA
  • NPI 1578630125
  NPD Authorized official
• Elizabeth Gallegos Bautista, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Duarte, CA
  • NPI 1609172303
  NPD (past)
• Anne Quach Lam, NURSE PRACTITIONER

  • Nurse Practitioner
  • El Monte, CA
  • NPI 1750656559
  NPD (past)
• Victoria Soekamto, NURSE PRACTITIONER

  • Nurse Practitioner
  • S El Monte, CA
  • NPI 1679860654

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271635200000",
    "number": "1790975258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9573 GARVEY AVE",
            "address_2": "STE 17",
            "city": "S EL MONTE",
            "state": "CA",
            "postal_code": "917334606",
            "telephone_number": "626-454-1801",
            "fax_number": "626-454-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16008 AMAR RD",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917442203",
            "telephone_number": "626-330-9535",
            "fax_number": "626-330-2661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIUS C KPADUWA MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2010-04-19",
        "status": "A",
        "authorized_official_last_name": "KPADUWA",
        "authorized_official_first_name": "JULIUS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "626-454-1801",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "CA",
            "license": "G51500",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A56261",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0085702",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOTHER AND CHILD HEALTH CENTER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Joshua Jones
• Joojoo International Corp.
• Vanessa Yvonne Joseph
• Claudia Lorena Juarez Guerrero
• Bianca Juarez
• Julius C. Kpaduwa Medical Corporation (Mother and Child Health Center)
• Crystal R Jurado
• Kaiser Foundation Health Plan Inc (Kaiser Permanente Phrmcy #563)
• Neesha S Kamble
• Maria F Kamel-Delgado

• Obstetrics Physician in City of Industry, CA
• Providers in City of Industry, CA by specialty
• Obstetrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2010; 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.