Active NPI
Isidore K.W. Kwaw, MD
- Emergency Medicine Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- G66583
- Practice address
- 9201 Sunset Blvd
705
Los Angeles, CA 90069-3708 - Phone
- (310) 271-2744
- Fax
- (310) 276-1732
- NPI assigned
- Jul 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | G66583 | CA | Primary |
Addresses
Primary practice location
9201 Sunset Blvd
705
Los Angeles, CA 90069-3708
Mailing address
PO Box 5280
Huntington Beach, CA 92615-5280
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 930114393 | Other | CA | RAILROAD MEDICARE |
| 00G665830 | Other | CA | BLUE SHIELD |
| 00G665830 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Howard University College of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1145 W Redondo Beach Blvd
Gardena, CA 90247-3511
Phone (310) 532-4200
1350 W Covina Blvd
San Dimas, CA 91773-3245
Phone (909) 599-6811
3828 Delmas Ter
Culver City, CA 90232-2713
Phone (310) 202-4745
5000 San Bernardino St
Montclair, CA 91763-2326
Phone (909) 625-5411
Hospital & facility affiliations
- Memorial Hospital of Gardena
- Southern California Hospital at Hollywood
- San Dimas Community Hospital
- Montclair Hospital Medical Center
- Chino Valley Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 88.82
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 89.56
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66583 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Culver Emergency Medical Group | Emergency Medicine | Current | Accepting new patients |
| Montclair Emergency Medical Associates | Emergency Medicine | Current | Accepting new patients |
| San Dimas Emergency Medical Associates Inc. | Emergency Medicine | Current | Accepting new patients |
| Sunset Urgent Care Medical Center | Current | Accepting new patients | |
| Ignite Emergency Physicians a Medical Corporation | Current | Accepting new patients | |
| Gardena Hospital LP | Past | Accepting new patients | |
| Prime Healthcare Services - Montclair, LLC | Past | Accepting new patients |
Locations
5451 Walnut Ave
Chino, CA 91710
Phone (909) 464-8600
3828 Delmas Ter
Culver City, CA 90232
Phone (310) 202-4745
5000 San Bernardino St
Montclair, CA 91763
Phone (909) 625-4111
910 Via de la Paz
Ste 100
Pacific Plsds, CA 90272
Phone (310) 454-5521
1801 W Olympic Blvd
#2611
Pasadena, CA 91199
1350 W Covina Blvd
San Dimas, CA 91773
Phone (909) 394-2745
16850 Bear Valley Rd
Victorville, CA 92395
Phone (760) 241-8222
9201 W Sunset Blvd
Ste 705
West Hollywood, CA 90069
Phone (310) 271-2744
4401 W Memorial Rd
Ste 121
Oklahoma City, OK 73134
Phone (405) 749-4560
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 8
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.
-
- Emergency Medicine Physician
- Culver City, CA
- NPI 1699907923
-
- Emergency Medical Services (Emergency Medicine) Physician
- Victorville, CA
- NPI 1437918307
-
- Emergency Medicine Physician
- San Dimas, CA
- NPI 1720239460
-
- Nephrology Physician
- Los Angeles, CA
- NPI 1659416659
-
- Emergency Medicine Physician
- Gardena, CA
- NPI 1376834937
-
- Emergency Medicine Physician
- Montclair, CA
- NPI 1316044696
-
- Institutional Pharmacy
- Gardena, CA
- NPI 1669491700
-
- General Acute Care Hospital
- Montclair, CA
- NPI 1992721161
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gardena, CA
- NPI 1063412005
-
- General Acute Care Hospital
- Montclair, CA
- NPI 1992721161
-
- General Acute Care Hospital
- San Dimas, CA
- NPI 1740447945
-
- General Acute Care Hospital
- Hollywood, CA
- NPI 1023010113
-
- General Acute Care Hospital
- Chino, CA
- NPI 1962407460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354147200000",
"number": "1962428300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5280",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926155280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9201 SUNSET BLVD",
"address_2": "705",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900693708",
"telephone_number": "310-271-2744",
"fax_number": "310-276-1732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWAW",
"first_name": "ISIDORE",
"middle_name": "K.W.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-15",
"last_updated": "2012-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "G66583",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "930114393",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00G665830",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G665830",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.