Individual provider Active NPI

David Changjeen Rhew, M.D.

  • Infectious Disease Physician
  • Los Angeles, CA
National Provider Identifier
1992900815
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
G78135 Issued in CA
Practice address
5764 San Vicente Blvd
Suite 404
Los Angeles, CA 90019-7010
Phone
(310) 486-5744
Fax
(323) 935-6953
NPI assigned
Jun 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X G78135 CA Primary

Addresses

Primary practice location

5764 San Vicente Blvd
Suite 404
Los Angeles, CA 90019-7010

Mailing address

5764 San Vicente Blvd
Suite 404
Los Angeles, CA 90019-7010
Phone (310) 486-5744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G78135CAMDInfectious Disease Physician

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992900815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5764 SAN VICENTE BLVD",
            "address_2": "SUITE 404",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900197010",
            "telephone_number": "310-486-5744",
            "fax_number": "323-935-6953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5764 SAN VICENTE BLVD",
            "address_2": "SUITE 404",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900197010",
            "telephone_number": "310-486-5744",
            "fax_number": "323-935-6953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHEW",
        "first_name": "DAVID",
        "middle_name": "CHANGJEEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "G78135",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 8, 2007; 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.