Individual provider Active NPI

Isidore K.W. Kwaw, MD

  • Emergency Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1962428300
Registry record updated Nov 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
G66583 Issued in CA
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

Updated by the provider on Nov 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
930114393OtherCARAILROAD MEDICARE
00G665830OtherCABLUE SHIELD
00G665830MedicaidCA

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
I20040903000239 CA Practitioner - Internal MedicinePractitioner - Emergency Medicine 8123094893 Reassigns benefits to 6 organizations

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
Redondo Emergency Physicians IncGroup PAC ID 9032388269, 13 clinicians
San Dimas Emergency Medical Associates Inc.Group PAC ID 0648334235, 10 clinicians
Culver Emergency Medical GroupGroup PAC ID 0244378677, 17 clinicians
Ignite Emergency Physicians a Medical CorporationGroup PAC ID 2365988326, 46 clinicians

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 Hospital, Gardena, CA, CCN 050468
  • Southern California Hospital at Hollywood Hospital, Hollywood, CA, CCN 050135
  • San Dimas Community Hospital Hospital, San Dimas, CA, CCN 050588
  • Montclair Hospital Medical Center Hospital, Montclair, CA, CCN 050758
  • Chino Valley Medical Center Hospital, Chino, CA, CCN 050586

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
88.82
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
89.56
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
66583CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Culver Emergency Medical Group Emergency Medicine CurrentSince Oct 8, 2024 Accepting new patients
Montclair Emergency Medical Associates Emergency Medicine CurrentSince Jan 23, 2017 Accepting new patients
San Dimas Emergency Medical Associates Inc. Emergency Medicine CurrentSince Oct 15, 2013 Accepting new patients
Sunset Urgent Care Medical Center CurrentSince Apr 3, 2000 Accepting new patients
Ignite Emergency Physicians a Medical Corporation CurrentSince Jul 1, 2025 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.