Henry Kaw MD Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A95068 Issued in CA

Legal business name

HENRY KAW MD INC

Practice address

321 N Pomona Ave
Suite B
Fullerton, CA 92832-1927

Phone

(714) 462-8383

Fax

(714) 462-8384

NPI assigned

Jan 29, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Henry R Kaw Jr., M.D.NPI 1215022967

Title

Ceo

Phone

(714) 747-7476

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Henry Rivera Kaw Jr., M.D.

  • Family Medicine Physician
  • Fullerton, CA
  • NPI 1215022967
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392163200000",
    "number": "1992982292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N POMONA AVE",
            "address_2": "SUITE B",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321927",
            "telephone_number": "714-462-8383",
            "fax_number": "714-462-8384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N POMONA AVE",
            "address_2": "SUITE B",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321927",
            "telephone_number": "714-462-8383",
            "fax_number": "714-462-8384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY KAW MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2014-02-12",
        "status": "A",
        "authorized_official_last_name": "KAW",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-747-7476",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A95068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janeen D Henderson, CNP
• Beverly Hendricks, COTA/C
• Vincente Salvador Hendricks, NONE
• Mark Hennig, DDS
• Adriana Henriquez
• Jason A Henry
• Rebecca Henry
• Carlie McKeehan Hensley
• Sukena Raquel Henson
• Tammy Heo, BCBA

• Primary Care Clinic/Center in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.