THE WEST COVINA KIDS DOC ,APMC (NPI# 1376676403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376676403 |
| Entity Type | Organization |
| Organization Name | THE WEST COVINA KIDS DOC ,APMC |
| Practice Address |
933 S Sunset Ave Suite # 101 West Covina CA 91790-3410 |
| Mailing Address |
Po Box 4219 West Covina CA 91791-0219 |
| Practice Telephone | 6269195437 |
| Practice Fax Number | 6269195439 |
| Mailing Telephone | 6269195437 |
| Mailing Fax Number | 6269195439 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2012-02-24 |
| Authorized Official Name | DR. PANKAJ N MISTRY (PRESIDENT,CEO) |
| Authorized Official Telephone | 6269195437 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | THE KIDS DOC APMC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NPI NUMBER | 1366518342 | 01 |
| Street Address |
933 S SUNSET AVE SUITE # 101 |
| City | WEST COVINA |
| State | CA |
| Zip Code | 91790-3410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962404954 | Ducens Med-tech, Inc | Durable Medical Equipment & Medical Supplies | 933 S Sunset Ave, West Covina, CA 91790-3410 | 2005-08-10 |
| 1306202353 | Ducens Med-tech, Inc | Prosthetic/Orthotic Supplier | 933 S Sunset Ave, Suite 101, West Covina, CA 91790-3410 | 2016-01-06 |
| 1679985477 | Aileen Sehee Kim Dental Corporation | Dentist | 933 S Sunset Ave, #208, West Covina, CA 91790-3410 | 2014-05-28 |
| 1689016255 | Aileen Kim | Dentist | 933 S Sunset Ave, 208, West Covina, CA 91790-3410 | 2013-07-24 |
| 1811233661 | Sunset Psychiatric Medical Center | Preferred Provider Organization | 933 S Sunset Ave, Suite 105, West Covina, CA 91790-3410 | 2012-12-26 |
| 1609134527 | Tsai & Wu Health Inc, A Medical Corporation | Psychiatry & Neurology | 933 S Sunset Ave, Ste 105, West Covina, CA 91790-3410 | 2012-04-28 |
| 1275810251 | Eddie K. Kao Dds Inc. | Clinic/Center | 933 S Sunset Ave, Suite 203, West Covina, CA 91790-3410 | 2011-11-04 |
| 1619285145 | Gregory L. Gorski, A Professional Medical Corp | Psychiatry & Neurology | 933 S Sunset Ave, 105, West Covina, CA 91790-3410 | 2010-09-17 |
| 1578893939 | Anna Lynn Tongson De Guzman | Dentist | 933 S Sunset Ave, Suite 205, West Covina, CA 91790-3410 | 2010-01-07 |
| 1609057496 | Kingkwan Law | Pharmacist | 933 S Sunset Ave, West Covina, CA 91790-3410 | 2007-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285279067 | Liang-wen Chen | Acupuncturist | 1433 West Merced Ave. Suite 304, West Covina, CA 91790 | 2019-11-15 |
| 1245880517 | Cheuk Man Chan | Acupuncturist | 1433 W Merced Ave., #309, West Covina, CA 91790 | 2019-09-18 |
| 1982174561 | Alexandra Isaacs | Marriage & Family Therapist | 1215 W. West Covina Pkwy., West Covina, CA 91790 | 2018-11-27 |
| 1568949709 | Lulua Zulfikarali Bahrainwala | Student in an Organized Health Care Education/Training Program | 1115 S Sunset Avenue #3940, West Covina, CA 91790 | 2018-07-20 |
| 1417442740 | Lydia Joy David | Nurse Practitioner | 1769 S Sunset Ave, West Covina, CA 91790 | 2018-06-28 |
| 1043721046 | Kimberly E Nevarez | Specialist/Technologist | 410 E Merced Ave Suite D, Suite D, West Covina, CA 91790 | 2017-10-17 |
| 1952825754 | Evan Lee Hendriks | Physician Assistant | 301 S Glendora Ave, Apt 2142, West Covina, CA 91790 | 2017-08-02 |
| 1669994588 | Meryl Francine Liu | Dentist | 1101 S. Glendora Ave #a, West Covina, CA 91790 | 2017-07-12 |
| 1326586330 | Athena Merianos | Marriage & Family Therapist | 1215 W. West Parkway, West Covina, CA 91790 | 2017-02-09 |
| 1912445990 | Lissette Bueno | Case Manager/Care Coordinator | 1517 West Garvey Ave North, West Covina, CA 91790 | 2017-02-09 |
| Find all providers in zip 91790 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982093761 | Tina Lai Wong | Pediatrics | 2657 E Charlinda St, West Covina, CA 91791-2901 | 2015-01-15 |
| 1003188160 | Mayflower Medical Group, Inc. | Pediatrics | 140 N Orange Ave., Suite 100, West Covina, CA 91790-2032 | 2012-02-06 |
| 1639223837 | Yunchul John Pak | Pediatrics | 1433 W Merced Ave #205, West Covina, CA 91790 | 2007-01-23 |
| 1275690927 | Kim Associates Medical Clinic, Inc. | Pediatrics | 1433 W Merced Ave Ste 217, West Covina, CA 91790-3402 | 2007-01-02 |
| 1366518342 | Pankaj Nanubhai Mistry | Pediatrics | 933 S Sunset Ave Ste 101, West Covina, CA 91790-3410 | 2006-11-28 |
| 1336227594 | Harbhajan Kalsi Hanjan | Pediatrics | 906 South Sunset Ave, Suite 105, West Covina, CA 91790-3400 | 2006-11-02 |
| 1417031642 | Rosa Go Cu | Pediatrics | 933 S Sunset Ave #206, West Covina, CA 91790 | 2006-10-24 |
| 1508953894 | Eva Y Chan | Pediatrics | 2707 E Valley Blvd Ste 215, West Covina, CA 91792-3197 | 2006-10-06 |
| 1447277413 | Aarti Kulshrestha | Pediatrics | 1433 W Merced Ave Ste 103, West Covina, CA 91790 | 2006-07-16 |
| 1376543389 | Linda Yang | Pediatrics | 1135 S. Sunset Ave., West Covina, CA 91790 | 2005-08-01 |
| Find all providers in WEST COVINA | ||||
| City | WEST COVINA |
| Zip Code | 91790 |
Please comment or provide details below to improve the information on THE WEST COVINA KIDS DOC ,APMC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.