Individual provider Active NPI

Joanna K Chwa, FNP

  • Family Nurse Practitioner
  • Arcadia, CA
National Provider Identifier
1831976372
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95020892 Issued in CA
Practice address
632 W Duarte Rd Ste 180
Arcadia, CA 91007-7609
Phone
(626) 821-6411
NPI assigned
Sep 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95020892 CA Primary

Addresses

Primary practice location

632 W Duarte Rd Ste 180
Arcadia, CA 91007-7609

Mailing address

632 W Duarte Rd Ste 180
Arcadia, CA 91007-7609

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
95020892CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blossom Health, Inc Current Accepting new patients

Locations

632 W Duarte Rd
Ste 180
Arcadia, CA 91007
Phone (626) 821-6411

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1694131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1831976372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 W DUARTE RD STE 180",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 W DUARTE RD STE 180",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077609",
            "telephone_number": "626-821-6411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHWA",
        "first_name": "JOANNA",
        "middle_name": "K",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-08",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95020892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.