Active NPI
Edna K Taikwel, M.D.
- General Practice Physician
- Monterey Park, CA
National Provider Identifier
1821044389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A54127
- Practice address
- 705 E Garvey Ave
Monterey Park, CA 91755-3024 - Phone
- (626) 312-5488
- Fax
- (626) 312-5455
- NPI assigned
- May 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A54127 | CA | |
| General Practice Physician | 208D00000X | A54127 | CA | Primary |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A541270 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
705 E Garvey Ave
Monterey Park, CA 91755-3024
Phone (626) 312-5488
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garvey Healthy Family Medical Clinic, Inc | Pediatrics | Current | Accepting new patients |
| Ahmc Garfield Medical Center LP | Past | Accepting new patients | |
| Ahmc San Gabriel Valley Medical | Past | Accepting new patients |
Locations
705 E Garvey Ave
Monterey Park, CA 91755
Phone (626) 312-5488
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Monterey Park, CA
- NPI 1740299833
Pediatrics
-
- General Acute Care Hospital
- Monterey Park, CA
- NPI 1730171265
-
- Skilled Nursing Facility
- San Gabriel, CA
- NPI 1710174818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367366400000",
"number": "1821044389",
"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": {
"last_name": "TAIKWEL",
"first_name": "EDNA",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-26",
"last_updated": "2013-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A54127",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "A54127",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A541270",
"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 May 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.