Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Henry Rivera Kaw Jr., MD

Individual provider Family Medicine Physician · NPI 1215022967

Dr. Henry Rivera Kaw Jr., MD is a Family Practice in Fullerton, California. Qualified in 1999, 27 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
27
Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

321 N Pomona Ave Ste B
Fullerton, CA 92832-1927
Phone: (714) 462-8383
Fax: (714) 462-8384
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A95068 (CA)
General Practice Physician Taxonomy 208D00000X · Licence A95068 (CA)

Record details

NPI number1215022967
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 4, 2006
Last updated in NPPESFebruary 12, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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