Active NPI
Sandra Chu Damiani, MD
- Family Medicine Physician
- Harbor City, CA
National Provider Identifier
1073661955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G85489
- Practice address
- 1403 Lomita Blvd Ste 103
Harbor City, CA 90710-2084 - Phone
- (310) 784-1800
- NPI assigned
- Jan 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 | G85489 | CA | Primary |
Addresses
Primary practice location
1403 Lomita Blvd Ste 103
Harbor City, CA 90710-2084
Mailing address
2550 West Main St
Suite 301
Alhambra, CA 91801-7003
Phone (626) 457-6900
Other practice location 1
1403 Lomita Blvd Ste 100
Harbor City, CA 90710-2084
Phone (310) 784-5800
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G85489 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1073661955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2550 WEST MAIN ST",
"address_2": "SUITE 301",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918017003",
"telephone_number": "626-457-6900",
"fax_number": "626-457-5022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1403 LOMITA BLVD STE 103",
"city": "HARBOR CITY",
"state": "CA",
"postal_code": "907102084",
"telephone_number": "310-784-1800"
}
],
"practiceLocations": [
{
"address_1": "1403 Lomita Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "Harbor City",
"state": "CA",
"postal_code": "907102084",
"country_code": "US",
"telephone_number": "310-784-5800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHU DAMIANI",
"first_name": "SANDRA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G85489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harbor City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.