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

Last updated

May 24, 2018By the provider in NPPES

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.NPI 1346333648

Title

President

Phone

(626) 810-7772

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ker-Chow Chang, M.D.

  • Family Medicine Physician
  • La Habra, CA
  • NPI 1346333648
  Authorized official Same address or phone

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
• Kaitlyn Madison Fleming
• Jade Victoria Flemming, MSW
• Kirsten Fleshman
• Elsa Florentino

• 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.