Organization Active NPI

Tak K Chow M D Incorporated

  • Internal Medicine Physician
  • Barstow, CA
National Provider Identifier
1891023784
Registry record updated Dec 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A29604 Issued in CA
Legal business name
TAK K CHOW M D INCORPORATED
Practice address
500 S 7TH Ave
Suite a
Barstow, CA 92311-3056
Phone
(760) 252-2168
Fax
(818) 957-2194
NPI assigned
Dec 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2009

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

Authorized official

Name
Tak K Chow, MDNPI 1336150077
Title
President
Phone
(760) 252-2168

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A29604 CA Primary

Addresses

Primary practice location

500 S 7TH Ave
Suite a
Barstow, CA 92311-3056

Mailing address

PO Box 1926
Barstow, CA 92312-1926
Phone (760) 252-2168

Other identifiers 1

IdentifierTypeStateIssuer
00A296040MedicaidCA

National Provider Directory

National Provider Directory

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": "1259798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259798400000",
    "number": "1891023784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1926",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923121926",
            "telephone_number": "760-252-2168",
            "fax_number": "818-957-2194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S 7TH AVE",
            "address_2": "SUITE A",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923113056",
            "telephone_number": "760-252-2168",
            "fax_number": "818-957-2194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAK K CHOW M D INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-03",
        "last_updated": "2009-12-03",
        "status": "A",
        "authorized_official_last_name": "CHOW",
        "authorized_official_first_name": "TAK",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-252-2168",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A29604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A296040",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barstow, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2009; 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.