JOANNA TUKAJ, M.D., INC. (NPI# 1477545556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477545556 |
| Entity Type | Organization |
| Organization Name | JOANNA TUKAJ, M.D., INC. |
| Other Organization Name | DR JOANNA'S KIDS MEDICAL CLINIC |
| Practice Address |
130 W Route 66 Ste324 Glendora CA 91740-6252 |
| Practice Telephone | 6269140017 |
| Practice Fax Number | 6269140288 |
| Mailing Telephone | 6269140017 |
| Mailing Fax Number | 6269140288 |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2012-06-27 |
| Authorized Official Name | MR. KRZYSZTOF TUKAJ (SECRETARY/BUS.OFC.MGR) |
| Authorized Official Telephone | 9093940828 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | A051499 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | TYPE-1 NPI | 1336407923 | 01 |
| CA | MEDI-CAL | 00A514990 | 01 |
| Other Name | Type Code |
|---|---|
| DR JOANNA'S KIDS MEDICAL CLINIC | Doing Business As Name - Organization |
| Street Address |
130 W ROUTE 66 STE324 |
| City | GLENDORA |
| State | CA |
| Zip Code | 91740-6252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326409137 | Mohamed Z Kattih Inc | Clinic/Center | 130 W Route 66, Suite 328, Glendora, CA 91740-6249 | 2016-03-08 |
| 1609272384 | Jason Torres | Nurse Practitioner | 130 W Route 66, Glendora, CA 91740-6249 | 2014-11-07 |
| 1497094114 | Planned Parenthood Pasadena and San Gabriel Valley | Voluntary or Charitable | 130 W Route 66, Suite 100, Glendora, CA 91740-6249 | 2013-02-01 |
| 1780957597 | Gina Deana Assaf | Dentist | 130 W Route 66, Ste 316, Glendora, CA 91740-6249 | 2012-02-10 |
| 1609160498 | Vera Farhoud Raad | Dentist | 130 W Route 66, Suite 316, Glendora, CA 91740-6249 | 2011-06-08 |
| 1235420399 | Swapna Vayuvegula Phadnis | Family Medicine | 130 W Route 66, Suite 212, Glendora, CA 91740 | 2011-04-25 |
| 1306135181 | Billy P. Leon M.d. Inc. | Orthopaedic Surgery | 130 W Route 66, Suite 222, Glendora, CA 91740-6251 | 2011-04-01 |
| 1396063970 | Krunal J Mehta Md Inc | Family Medicine | 130 W Route 66, Suite 214, Glendora, CA 91740-6249 | 2010-05-06 |
| 1760704258 | Gloria Chen | Physician Assistant | 130 W Route 66, Ste 208, Glendora, CA 91740-6249 | 2010-02-24 |
| 1679895619 | Wei-cheng Wang | Acupuncturist | 130 W Route 66, 106, Glendora, CA 91740-6249 | 2010-02-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215559638 | Kenny Tokuji Michioka | Nurse Practitioner | 1208 S Barranca Ave Unit C, Glendora, CA 91740 | 2020-05-07 |
| 1629535380 | Sudario Home Health Care, Inc. | Home Health | 620 W Riute 66 Suite 220a, Glendora, CA 91740 | 2019-02-28 |
| 1659872711 | Matthew Christian Mendoza | Counselor | 1160 S Grand Avenue, Glendora, CA 91740 | 2018-02-23 |
| 1972029981 | Keyauna C Thomas | Case Manager/Care Coordinator | 987 Shady Lane, Glendora, CA 91740 | 2017-08-21 |
| 1356891055 | Stephanie L Contreras | Counselor | 2200 E Route 66 Ste 200, Glendora, CA 91740 | 2016-10-06 |
| 1912454547 | Natalie Sayegh | Dentist | 102 W. Route 66, Suite G, Glendora, CA 91740 | 2016-09-01 |
| 1255715744 | Daily Care,llc | Non-emergency Medical Transport (VAN) | 623 Lemar Park Drive, B, Glendora, CA 91740 | 2015-07-14 |
| 1245661776 | Rjdj Hospice Care, Inc. | Hospice Care, Community Based | 631 E. Arrow Hwy Ste E, Glendora, CA 91740 | 2013-12-10 |
| 1285061168 | Nam Dao | Nurse Practitioner | 1377 S. Grand Ave, Glendora, CA 91740 | 2013-10-09 |
| 1508292384 | Keaunna Sonae Knox | Speech-Language Pathologist | 420 E. Baseline St Suite D & E, Glendora, CA 91740 | 2013-09-24 |
| Find all providers in zip 91740 | ||||
| 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 |
|---|---|---|---|---|
| 1992762355 | Glendora Pediatrics Med Group Inc | Pediatrics | 210 S Grand Ave Ste 202, Glendora, CA 91741 | 2006-04-28 |
| 1407821275 | Jovi Cacnio | Pediatrics | 2025 E Route 66, Glendora, CA 91740-4670 | 2006-02-22 |
| 1891771143 | Janet Pilar Fermin | Pediatrics | 210 S Grand Ave, Ste 202, Glendora, CA 91741-4269 | 2005-12-19 |
| 1144312505 | Lisa H Kimpark | Pediatrics | 2025 E Route 66, Glendora, CA 91740-4670 | 2006-09-29 |
| 1649370487 | Cathryn Johanna Wechsler | Pediatrics | 2025 E Route 66, Glendora, CA 91740-4670 | 2006-09-22 |
| 1801820857 | Bharathi S Vayuvegula Md Phd Inc | Pediatrics | 130 W Route 66, Suite 212, Glendora, CA 91740-6249 | 2006-07-10 |
| 1407832751 | Amjad Mahfoud | Pediatrics | 210 S Grand Ave, Ste 202, Glendora, CA 91741-4269 | 2005-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649879099 | Dr Sameh Elamir Md PC | Pediatrics | 1834 W Lincoln Ave Ste R, Anaheim, CA 92801-5425 | 2020-10-17 |
| 1710590971 | Javier R Rios Md, A Professional Corporation | Pediatrics | 6926 Brockton Ave Ste 4&7, Riverside, CA 92506-3800 | 2020-08-27 |
| 1275151342 | California Pediatric & Adolescent Care Inc | Pediatrics | 3340 W Ball Rd Ste A, Anaheim, CA 92804-3729 | 2020-07-06 |
| 1891312153 | Anna Munoz Chavira, Md | Pediatrics | 10603 Horton Ave, Downey, CA 90241-2109 | 2020-07-02 |
| 1699391219 | Margaret Dillon Burchell | Pediatrics | 1524 Columbus Ave, Burlingame, CA 94010-5512 | 2020-06-19 |
| 1780206003 | Pineapple Pediatrics | Pediatrics | 19 E Citrus Ave Ste 201, Redlands, CA 92373-4742 | 2020-05-08 |
| 1497374904 | Ollie Health Medical Group, Inc. | Pediatrics | 9700 Business Park Dr Ste 406, Sacramento, CA 95827-1718 | 2020-04-14 |
| 1790304707 | Nicollette L. Ballou, M.d. | Pediatrics | 3831 Hughes Ave Ste 602, Culver City, CA 90232-6845 | 2020-04-09 |
| 1083243091 | Anita Giselle Wright | Pediatrics | 4003 Clarinda Dr, Tarzana, CA 91356-5048 | 2020-04-02 |
| 1669005500 | Family Choice Pediatrics Inc | Pediatrics | 3801 Katella Ave Ste 221, Los Alamitos, CA 90720-3380 | 2020-02-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JOANNA TUKAJ, M.D., INC..
| 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.