Individual provider Active NPI

Jose Sia Kua, M.D.

  • Obstetrics & Gynecology Physician
  • Paramount, CA
National Provider Identifier
1861495855
Registry record updated Feb 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A30919 Issued in CA
Practice address
16415 Colorado Ave
Ste 305
Paramount, CA 90723-5035
Phone
(562) 633-5091
Fax
(562) 633-7857
NPI assigned
May 23, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A30919 CA Primary

Addresses

Primary practice location

16415 Colorado Ave
Ste 305
Paramount, CA 90723-5035

Mailing address

9511 Montanza Way
Ste 305
Buena Park, CA 90620-4263
Phone (714) 527-5495

Other identifiers 1

IdentifierTypeStateIssuer
00A309190MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455667200000",
    "number": "1861495855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9511 MONTANZA WAY",
            "address_2": "STE 305",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906204263",
            "telephone_number": "714-527-5495",
            "fax_number": "714-826-7454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16415 COLORADO AVE",
            "address_2": "STE 305",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907235035",
            "telephone_number": "562-633-5091",
            "fax_number": "562-633-7857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUA",
        "first_name": "JOSE",
        "middle_name": "SIA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2016-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A30919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A309190",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramount, CA

Sources for this page

Verify at the official NPI Registry.