Organization Active NPI

Spectra Health Services

  • General Practice Physician
  • Monrovia, CA
National Provider Identifier
1992057186
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
SPECTRA HEALTH SERVICES
Practice address
710 S Myrtle Ave
117
Monrovia, CA 91016-3423
Phone
(626) 768-3120
NPI assigned
Oct 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2012

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

Authorized official

Name
Dr. Kwaku Oppong, M.D.
Title
Ceo
Phone
(626) 768-3120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

710 S Myrtle Ave
117
Monrovia, CA 91016-3423

Mailing address

710 S Myrtle Ave
117
Monrovia, CA 91016-3423
Phone (626) 768-3120

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349913600000",
    "number": "1992057186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 S MYRTLE AVE",
            "address_2": "117",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910163423",
            "telephone_number": "626-768-3120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 S MYRTLE AVE",
            "address_2": "117",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910163423",
            "telephone_number": "626-768-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRA HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-11",
        "last_updated": "2012-10-11",
        "status": "A",
        "authorized_official_last_name": "OPPONG",
        "authorized_official_first_name": "KWAKU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-768-3120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monrovia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; 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.