PACIFIC ALLIANCE MEDICAL GROUP (NPI# 1487644027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487644027 |
| Entity Type | Organization |
| Organization Name | PACIFIC ALLIANCE MEDICAL GROUP |
| Practice Address |
531 W College St Los Angeles CA 90012-2315 |
| Mailing Address |
Po Box 18989 Anaheim CA 92817-8989 |
| Practice Telephone | 2136839336 |
| Mailing Telephone | 6268211411 |
| Mailing Fax Number | 6268210406 |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2008-06-13 |
| Authorized Official Name | DR. WILLIAM C. CHU (RADIOLOGIST) |
| Authorized Official Telephone | 6268211411 |
| Authorized Official Credential | MEDICAL DOCTOR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085B0100X |
Radiology Specialization: Body Imaging |
A38858 | CA | Allopathic & Osteopathic Physicians |
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
A38858 | CA | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
A38858 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD | 00A388580 | 01 |
| CA | 00A388580 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790995900 | Pacific Alliance Medical Group | Family Medicine | 1600 Corporate Center Dr, Monterey Park, CA 91754-7626 | 2007-05-23 |
| Street Address |
531 W COLLEGE ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90012-2315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760010607 | 531 W. College, LLC | General Acute Care Hospital | 531 W College St, Los Angeles, CA 90012-2315 | 2020-03-27 |
| 1558872390 | Daisy Leong | Pharmacist | 531 W College St, Los Angeles, CA 90012 | 2017-10-19 |
| 1548796840 | Rosmawani Teng | Nurse Practitioner | 531 W College St, Los Angeles, CA 90012-2315 | 2017-05-04 |
| 1780099341 | Michelle Argana | Pharmacist | 531 W College St, Los Angeles, CA 90012-2315 | 2014-06-23 |
| 1114260791 | Calvin Moh | Anesthesiology | 531 W College St, Los Angeles, CA 90012-2315 | 2013-04-01 |
| 1255674958 | Joshua W Wong | Anesthesiology | 531 W College St, Los Angeles, CA 90012-2315 | 2013-04-01 |
| 1568704658 | Ruth Kuo | Anesthesiology | 531 W College St, Los Angeles, CA 90012-2315 | 2013-03-27 |
| 1811251325 | Kristine Joyce Austria | Nurse Anesthetist, Certified Registered | 531 W College St, Los Angeles, CA 90012-2315 | 2012-06-28 |
| 1356615025 | Yuri Ann Cho | Anesthesiology | 531 W College St, Los Angeles, CA 90012-2315 | 2012-02-28 |
| 1275800310 | Western Acute Care Physicians, Inc. | Emergency Medicine | 531 W College St, Los Angeles, CA 90012-2315 | 2011-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538654124 | Los Angeles County Children and Families First - Proposition 10 Commis | Case Management | 750 N. Alameda Street, Suite 300, Los Angeles, CA 90012 | 2018-06-26 |
| 1750886511 | Pain Control Clinic | Acupuncturist | 321 E. 1st St. #220, Los Angeles, CA 90012 | 2018-03-26 |
| 1891224325 | Brenda D Sazo | Community Health Worker | 1000 N. Alameda St, # 350, Los Angeles, CA 90012 | 2017-06-08 |
| 1740719012 | Fatemeh Arabpour | Dentist | 505 N Figueroa Apt #534, Los Angeles, CA 90012 | 2017-06-08 |
| 1033667662 | Olga Witrago | Case Manager/Care Coordinator | 701 W Cersar Chavez Suite 201, Los Angeles, CA 90012 | 2016-09-12 |
| 1902269962 | Samantha Martinez | Licensed Practical Nurse | 701 West Cesar Chavez Av, Los Angeles, CA 90012 | 2016-03-29 |
| 1760847313 | Maria Emilia Manosa Rosales | Social Worker | 701 W. Cesar Chavez Ave., Los Angeles, CA 90012 | 2015-12-28 |
| 1609242999 | Hilary Adams | Psychologist | 250 E 1st St Ste 300, Los Angeles, CA 90012 | 2015-08-20 |
| 1831586288 | Thanh Ngoc Nguyen Trinh | Nurse Practitioner | 180 N Los Angeles St, Los Angeles, CA 90012 | 2015-04-23 |
| 1760880827 | Bertha Regina Garcia | Licensed Vocational Nurse | 701 W. Cesar E. Chavez Ave Suite201, Los Angeles, CA 90012 | 2014-12-05 |
| Find all providers in zip 90012 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487134623 | Hy Diagnostic Inc | Radiology | 4201 Wilshire Blvd Ste 334a, Los Angeles, CA 90010-3601 | 2018-08-17 |
| 1376022012 | Payersdirect, Inc. | Radiology | 11845 W Olympic Blvd Ste 1100w, Los Angeles, CA 90064 | 2018-08-13 |
| 1437641727 | Medical Imaging Center of Southern California-beverly Hills, Inc | Radiology | 8727 Beverly Blvd, Los Angeles, CA 90048 | 2018-06-01 |
| 1043726367 | Perch Yetenikyan, Inc. | Radiology | 5465 Santa Monica Blvd Ste 101, Los Angeles, CA 90029-2339 | 2017-12-22 |
| 1306351895 | Payam Ebizadeh | Radiology | 1233 S Westgate Ave Apt 307, Los Angeles, CA 90025-6792 | 2017-12-06 |
| 1841720059 | Beverly Radiology Medical Group | Radiology | 8540 S Sepulveda Blvd Ste 111, Los Angeles, CA 90045-3810 | 2017-06-20 |
| 1164895520 | Elliot Kolin | Radiology | 10842 Portofino Pl, Los Angeles, CA 90077-2301 | 2015-11-07 |
| 1396123014 | Brian Weston | Radiology | 757 Westwood Plz Dept Of, Los Angeles, CA 90095-8358 | 2015-05-14 |
| 1629497581 | John P. Anderson Md, Russell M. Perry Md, and Mark A. Sharzer, Amc | Radiology | 931 S Cochran Ave, Los Angeles, CA 90036-4738 | 2014-04-08 |
| 1871930131 | Theodore Q Miller | Radiology | 6412 S Holt Ave, Los Angeles, CA 90056-2208 | 2013-05-28 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90012 |
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| 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.