Individual provider Active NPI

Wenjiang Chu, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Santa Monica, CA
National Provider Identifier
1083803860
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
A90999 Issued in CA
Practice address
2601 34TH St
Santa Monica, CA 90405-3114
Phone
(310) 923-8616
NPI assigned
Oct 17, 2007
Last updated
May 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X A90999 CA Primary

Addresses

Primary practice location

2601 34TH St
Santa Monica, CA 90405-3114

Mailing address

2601 34TH St
Santa Monica, CA 90405-3114
Phone (310) 923-8616

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260227002559 CA Practitioner - Pathology 5597246439 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San Bernardino Gastroenterology Associates IncGroup PAC ID 7214218726, 7 clinicians

Practice addresses (Care Compare)

2006 N Riverside Ave
Suite B
Rialto, CA 92377-4697
Phone (909) 644-4033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A90999CAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Bernardino Gastroenterology Associates Inc. CurrentSince Feb 1, 2026 Accepting new patients

Locations

2006 N Riverside Ave
Rialto, CA 92377
Phone (909) 227-5139

2006 N Riverside Ave
Ste B
Rialto, CA 92377
Phone (909) 644-4033

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJDHCA/Endpoint/JJDHCA

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, 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": "1192579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1083803860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 34TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904053114",
            "telephone_number": "310-923-8616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 34TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904053114",
            "telephone_number": "310-923-8616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHU",
        "first_name": "WENJIANG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-17",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A90999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.