Individual provider Active NPI

Bonnie Chu

  • Family Nurse Practitioner
  • West Covina, CA
National Provider Identifier
1043022049
Registry record updated Jan 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95033703 Issued in CA
Practice address
2707 E Valley Blvd Ste 208
West Covina, CA 91792-3197
Phone
(626) 581-0486
NPI assigned
Jan 25, 2025
Last updated
Jan 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95033703 CA Primary

Addresses

Primary practice location

2707 E Valley Blvd Ste 208
West Covina, CA 91792-3197

Mailing address

4195 Chino Hills Pkwy # 198
Chino Hills, CA 91709-2618

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
95033703CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Star Health Medical, Professional Corporation CurrentSince Jan 26, 2025 Accepting new patients
CHLB, LLC PastSince Jan 26, 2025 Accepting new patients

Locations

2707 E Valley Blvd
Ste 208
West Covina, CA 91792
Phone (626) 258-9348

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1737763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737763200000",
    "number": "1043022049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4195 CHINO HILLS PKWY # 198",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917092618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 E VALLEY BLVD STE 208",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917923197",
            "telephone_number": "626-581-0486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHU",
        "first_name": "BONNIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-25",
        "last_updated": "2025-01-25",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95033703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.