NPIMap

Organization Active NPI

Golden Pacific Nephrology Medical Clinic

  • Nephrology Physician
  • Monterey Park, CA
National Provider Identifier
1871763680
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A41098 Issued in CA
Legal business name
GOLDEN PACIFIC NEPHROLOGY MEDICAL CLINIC
Practice address
228 N Garfield Ave Ste 201
Monterey Park, CA 91754-1709
Phone
(626) 280-0676
NPI assigned
Mar 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Authorized official

Name
Dr. Jim-Jer Hwu, MDNPI 1275634248
Title
Owner
Phone
(626) 280-0676

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X A41098 CA Primary

Addresses

Primary practice location

228 N Garfield Ave Ste 201
Monterey Park, CA 91754-1709

Mailing address

228 N Garfield Ave Ste 201
Monterey Park, CA 91754-1709
Phone (626) 280-0676

National Provider Directory

National Provider Directory
Tax ID family
Golden Pacific Nephrology Medical Clinic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

228 N Garfield Ave
Ste 201
Monterey Park, CA 91754
Phone (626) 280-0676

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1871763680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 N GARFIELD AVE STE 201",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541709",
            "telephone_number": "626-280-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 N GARFIELD AVE STE 201",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541709",
            "telephone_number": "626-280-0676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN PACIFIC NEPHROLOGY MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "HWU",
        "authorized_official_first_name": "JIM-JER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-280-0676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A41098",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 8, 2008; 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.