Individual provider Active NPI

Peter Yang Ma, M.D.

  • Internal Medicine Physician
  • Arcadia, CA
National Provider Identifier
1902831019
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A53050 Issued in CA
Practice address
624 W Duarte Rd Ste 208
Arcadia, CA 91007-7675
Phone
(626) 294-9978
Fax
(626) 294-9526
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A53050 CA Primary

Addresses

Primary practice location

624 W Duarte Rd Ste 208
Arcadia, CA 91007-7675

Mailing address

624 W Duarte Rd Ste 208
Arcadia, CA 91007-7675
Phone (626) 294-9978

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140128001997 CA Practitioner - Internal Medicine 6507930849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peter Yang Ma Medical IncGroup PAC ID 9739240193, 2 clinicians

Practice addresses (Care Compare)

624 W Duarte Rd
Suite 208
Arcadia, CA 91007-7675
Phone (626) 294-9978

Hospital & facility affiliations

  • Diamond Home Health Services, Inc Home health agency, Diamond Bar, CA, CCN 059499
  • Happy Home Health Services Home health agency, Arcadia, CA, CCN 059173
  • Arcadia Care Center Nursing home, Arcadia, CA, CCN 555729

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A53050CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regal Medical Group, Inc. Internal Medicine Past Accepting new patients
Diamond Home Health Services, Inc PastSince May 20, 2008 Accepting new patients
Usc Arcadia Hospital Past Accepting new patients
Dignity Community Care Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1902831019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 W DUARTE RD STE 208",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077675",
            "telephone_number": "626-294-9978",
            "fax_number": "888-413-9572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 W DUARTE RD STE 208",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077675",
            "telephone_number": "626-294-9978",
            "fax_number": "626-294-9526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MA",
        "first_name": "PETER",
        "middle_name": "YANG",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A53050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.