Active NPI
Aurora Grace E Hwang
- Pediatrics Physician
- Lindsay, CA
National Provider Identifier
1821176587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A40850
- Practice address
- 835 Sequoia Ave
Lindsay, CA 93247-1424 - Phone
- (559) 562-5177
- Fax
- (559) 562-9284
- NPI assigned
- Nov 1, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A40850 | CA | Primary |
Addresses
Primary practice location
835 Sequoia Ave
Lindsay, CA 93247-1424
Mailing address
835 Sequoia Ave
Lindsay, CA 93247-1424
Phone (559) 562-5177
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A408500 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081119000226 | CA | Part A Provider - Rural Health Clinic | 3375603442 | Practice locations: Lindsay, CA |
Rural health clinic certification: CCN 058930
- Legal name
- AURORA GRACE E HWANG
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Sep 3, 2008
- Last certification
- May 25, 2017
- Ownership / control type
- 1A
- Organization structure
- Sole Proprietor
- Enrollment address
- 835 Sequoia Ave
Lindsay, CA 93247-1424
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A40850 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Green Valley Medical Corporation | Past | Accepting new patients | |
| A Grace E Hwang | Past | Accepting new patients | |
| Grace Hwang MD Inc | Pediatrics | Past | Accepting new patients |
Ownership & related parties
All disclosed owners & managing parties 1
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Aurora Grace E Hwang | 5% Or Greater Direct Ownership Interest | Dec 6, 2006 | 100% |
| W-2 Managing Employee | Dec 6, 2006 |
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.
-
- Rural Health Clinic/Center
- Lindsay, CA
- NPI 1336201482
-
- Pediatrics Physician
- Porterville, CA
- NPI 1801199625
-
- Rural Health Clinic/Center
- Orosi, CA
- NPI 1598072662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227052800000",
"number": "1821176587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "835 SEQUOIA AVE",
"city": "LINDSAY",
"state": "CA",
"postal_code": "932471424",
"telephone_number": "559-562-5177",
"fax_number": "559-562-9284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "835 SEQUOIA AVE",
"city": "LINDSAY",
"state": "CA",
"postal_code": "932471424",
"telephone_number": "559-562-5177",
"fax_number": "559-562-9284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HWANG",
"first_name": "AURORA GRACE",
"middle_name": "E",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2008-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A40850",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A408500",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lindsay, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.