Active NPI
Kathy Chu, NP
- Women's Health Nurse Practitioner
- San Jose, CA
National Provider Identifier
1083475313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 95028312
- Practice address
- 3131 Alum Rock Ave
San Jose, CA 95127-2902 - Phone
- (408) 729-7600
- NPI assigned
- Jan 23, 2024
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 95028312 | CA | Primary |
Addresses
Primary practice location
3131 Alum Rock Ave
San Jose, CA 95127-2902
Mailing address
3131 Alum Rock Ave
San Jose, CA 95127-2902
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95028312 | CA | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Planned Parenthood Mar Monte, Inc. | Current | Accepting new patients | |
| Planned Parenthood Mar Monte, Inc | Current | Accepting new patients | |
| Planned Parenthood Mar Monte, Inc | Current | Accepting new patients |
Locations
1691 The Alameda
San Jose, CA 95126
Phone (408) 287-7526
3131 Alum Rock Ave
San Jose, CA 95127
Phone (408) 729-7600
Interoperability endpoints
- kathy.chunp.p1@direct.ppmarmonte.nextgenshare.com
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.
-
- Community Health Clinic/Center
- Stockton, CA
- NPI 1174579957
-
- Community Health Clinic/Center
- San Jose, CA
- NPI 1043263189
-
- Community Health Clinic/Center
- San Jose, CA
- NPI 1598536971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705968000000",
"number": "1083475313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3131 ALUM ROCK AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951272902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3131 ALUM ROCK AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951272902",
"telephone_number": "408-729-7600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHU",
"first_name": "KATHY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-23",
"last_updated": "2024-01-23",
"certification_date": "2024-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "CA",
"license": "95028312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.