First Fountains Medical Center Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A48893 Issued in CA

Legal business name

FIRST FOUNTAINS MEDICAL CENTER INC

Practice address

2707 E Valley Blvd
Suite 103
West Covina, CA 91792

Phone

(626) 810-7772

Fax

(626) 810-0304

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Ker-Chow Chang, M.D.

Title

President

Phone

(626) 810-7772

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527120000000",
    "number": "1972697100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 E VALLEY BLVD",
            "address_2": "SUITE 103",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917923140",
            "telephone_number": "626-810-7772",
            "fax_number": "626-810-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 E VALLEY BLVD",
            "address_2": "SUITE 103",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "91792",
            "telephone_number": "626-810-7772",
            "fax_number": "626-810-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST FOUNTAINS MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2018-05-24",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "KER-CHOW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-810-7772",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A48893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Ferree, BCBA
• Jessica Ferrel
• Vanessa Ferreyra
• Kama Fields
• William Craig Firman, DC
• Five Acres- the Boys' and Girls' Aid Society of Los Angeles County
• Gracelynn K Fjelstad
• Kaitlyn Madison Fleming
• Jade Victoria Flemming, MSW
• Kirsten Fleshman

• Family Medicine Physician in West Covina, CA
• Providers in West Covina, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; 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.