Individual provider Active NPI

Allen Chu, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Downey, CA
National Provider Identifier
1003498346
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
109821 Issued in CA
Practice address
10601 Paramount Blvd
Downey, CA 90241-3303
Phone
(562) 923-7257
NPI assigned
Apr 26, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 109821 CA Primary

Addresses

Primary practice location

10601 Paramount Blvd
Downey, CA 90241-3303

Mailing address

5918 Sunhawk Dr
Santa Rosa, CA 95409-7304
Phone (707) 486-6410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260202002290 CA Practitioner - Oral Surgery 5991293201 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Columbia University College of Dental Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Makan Tarzana Dental CorporationGroup PAC ID 1759765605, 4 clinicians
Makan Dental CorporationGroup PAC ID 6709256456, 5 clinicians

Practice addresses (Care Compare)

18372 Clark St
Suite 224
Tarzana, CA 91356-3559
Phone (818) 996-1200

5555 Truxtun Ave
Suite 200
Bakersfield, CA 93309-7451
Phone (661) 863-9995

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2249CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Makan Tarzana Dental Corporation Oral and Maxillofacial Surgery CurrentSince Dec 20, 2025 Accepting new patients
Liu Makan Downey Dental Corporation Oral and Maxillofacial Surgery CurrentSince Jan 4, 2026 Accepting new patients
Makan Dental Corporation Oral and Maxillofacial Surgery CurrentSince Dec 20, 2025 Accepting new patients

Locations

5555 Truxtun Ave
Ste 200
Bakersfield, CA 93309
Phone (661) 863-9995

10601 Paramount Blvd
Downey, CA 90241
Phone (562) 459-3311

18372 Clark St
Ste 224
Tarzana, CA 91356
Phone (818) 578-3500

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1003498346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5918 SUNHAWK DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954097304",
            "telephone_number": "707-486-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10601 PARAMOUNT BLVD",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902413303",
            "telephone_number": "562-923-7257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHU",
        "first_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-26",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "109821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

Verify at the official NPI Registry.