Active NPI
Edmond K Chu, MD
- Family Medicine Physician
- Anaheim, CA
National Provider Identifier
1013975838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G34289
- Practice address
- 3055 W Orange Ave Ste 202
Anaheim, CA 92804-3154 - Phone
- (714) 952-0203
- Fax
- (714) 952-1387
- NPI assigned
- May 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G34289 | CO | Primary |
Addresses
Primary practice location
3055 W Orange Ave Ste 202
Anaheim, CA 92804-3154
Mailing address
3055 W Orange Ave Ste 202
Anaheim, CA 92804-3154
Phone (714) 952-0203
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006342890 | Medicaid | CA |
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: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101027001238 | CA | Practitioner - General Practice | 4284775354 | Practice locations: Anaheim, CA |
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- University of Utah School of Medicine, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3055 W Orange Ave
Suite 202
Anaheim, CA 92804-3154
Phone (714) 952-0203
Hospital & facility affiliations
- United Integrity Home Health Inc
- Legacy Home Health, Inc
- Western Home Care, Inc
- Integrity Hospice
- West Anaheim Medical Center
- Providence St. Jude Medical Center
- Beach Creek Post-Acute
Merit-based Incentive Payment System (MIPS)
- Final score
- 20.16 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 67.21
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 13 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G34289 | CO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anaheim Memorial Medical Center | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Anaheim, CA
- NPI 1295782381
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Thousand Oaks, CA
- NPI 1881953271
-
- Home Health Agency
- Rancho Cucamonga, CA
- NPI 1225563976
-
- General Acute Care Hospital
- Anaheim, CA
- NPI 1871501916
-
- General Acute Care Hospital
- Fullerton, CA
- NPI 1194926279
-
- General Acute Care Hospital
- Brea, CA
- NPI 1891904942
-
- Home Health Agency
- Garden Grove, CA
- NPI 1912029943
-
- Home Health Agency
- Buena Park, CA
- NPI 1578581518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660694400000",
"number": "1013975838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3055 W ORANGE AVE STE 202",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928043154",
"telephone_number": "714-952-0203",
"fax_number": "714-952-1387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3055 W ORANGE AVE STE 202",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928043154",
"telephone_number": "714-952-0203",
"fax_number": "714-952-1387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHU",
"first_name": "EDMOND",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-02",
"last_updated": "2022-08-17",
"certification_date": "2022-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "G34289",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006342890",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.