Organization Active NPI

Jason J Chiu MD Inc

  • Orthopaedic Surgery Physician
  • Garden Grove, CA
National Provider Identifier
1053507194
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A62291 Issued in CA
Legal business name
JASON J CHIU MD INC
Practice address
10212 Westminster Ave Ste 102
Garden Grove, CA 92843-4800
Phone
(714) 210-1718
NPI assigned
Sep 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

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

Authorized official

Name
Jason ChiuNPI 1962400440
Title
President
Phone
(626) 253-2260

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X A62291 CA Primary

Addresses

Primary practice location

10212 Westminster Ave Ste 102
Garden Grove, CA 92843-4800

Mailing address

10212 Westminster Ave Ste 102
Garden Grove, CA 92843-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071024000370 CA Part B Supplier - Clinic/Group Practice 0941397848 Receives reassigned benefits from 1 practitioner
Practice locations: Garden Grove, CA

National Provider Directory

National Provider Directory

Locations

10212 Westminster Ave
Ste 102
Garden Grove, CA 92843
Phone (714) 210-1718

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1053507194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10212 WESTMINSTER AVE STE 102",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10212 WESTMINSTER AVE STE 102",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434800",
            "telephone_number": "714-210-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON J CHIU MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "CHIU",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-253-2260"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A62291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.