S. K. Medical Group Inc.

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

S. K. MEDICAL GROUP INC.

Practice address

1418 S San Gabriel Blvd Ste C
San Gabriel, CA 91776-4605

Phone

(626) 293-1988

Fax

(626) 293-3368

NPI assigned

Mar 26, 2008

Organization subpart

No

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

Authorized official

Name

Susie Yen Wong

Title

Office Manager

Phone

(626) 293-1988

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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

• Su Kin Lee, M.D.

  • Internal Medicine Physician
  • San Gabriel, CA
  • NPI 1871510370
  Medicare reassignment NPD
• Anne Luu

  • Family Nurse Practitioner
  • San Gabriel, CA
  • NPI 1437634045
  Medicare reassignment NPD
• Shanqiang Zhang

  • Medical Physician Assistant
  • Alhambra, CA
  • NPI 1619166626
  Medicare reassignment

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669766400000",
    "number": "1831361237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 S SAN GABRIEL BLVD STE C",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917764605",
            "telephone_number": "626-293-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 S SAN GABRIEL BLVD STE C",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917764605",
            "telephone_number": "626-293-1988",
            "fax_number": "626-293-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. K. MEDICAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-26",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "SUSIE",
        "authorized_official_middle_name": "YEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "626-293-1988"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Royal Vista
• Royal Vista Care Center LLC
• Annabel Ruggels
• Francisco Run, M.D.
• Gwendolyn Jean Ryan, M.S.
• S.E.N. Health Station
• Christopher Sabo
• Ryan Saiyasombat
• Ruben A Salgado Dominguez, PMHNP
• Jacqueline Salgado

• Geriatric Medicine (Internal Medicine) Physician in San Gabriel, CA
• Providers in San Gabriel, CA by specialty
• Geriatric Medicine (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.