Individual provider Active NPI

Andrew S Hsu, MD

  • Surgery Physician
  • Chula Vista, CA
National Provider Identifier
1083817399
Registry record updated Sep 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A108956 Issued in CA
Practice address
480 4TH Ave Ste 404
Chula Vista, CA 91910-4413
Phone
(619) 425-7470
Fax
(619) 425-7470
NPI assigned
Jun 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A108956 CA Primary

Addresses

Primary practice location

480 4TH Ave Ste 404
Chula Vista, CA 91910-4413

Mailing address

480 4TH Ave
Suite 404
Chula Vista, CA 91910-4410
Phone (619) 425-7470

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
I20110516000152 CA Practitioner - General Surgery 9436244761 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Bay Surgical Associates Medical Group IncGroup PAC ID 7214998061, 3 clinicians

Practice addresses (Care Compare)

865 3Rd Ave
Suite 112
Chula Vista, CA 91911-1300
Phone (619) 425-7470

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A108956CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Bay Surgical Associates Medical Group Inc. Surgery CurrentSince Apr 1, 2011 Accepting new patients
Scripps Health Current Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Apr 26, 2011 Accepting new patients
Arvind K. Gupta M.D. LLC Surgery Past Accepting new patients
Surgical Associates of Milford PC Surgery PastSince Aug 6, 2017 Accepting new patients

Locations

865 Third Ave
Ste 112
Chula Vista, CA 91911
Phone (619) 271-7992

480 Fourth Ave
Ste 404
Chula Vista, CA 91910
Phone (619) 425-4559

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8369/brand/2/csg/1/fhir/r4
  • Direct secure messaging: ahsu81129@scrippshlth.medalliesdirect.net

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504742400000",
    "number": "1083817399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 4TH AVE",
            "address_2": "SUITE 404",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919104410",
            "telephone_number": "619-425-7470",
            "fax_number": "619-425-7472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 4TH AVE STE 404",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919104413",
            "telephone_number": "619-425-7470",
            "fax_number": "619-425-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HSU",
        "first_name": "ANDREW",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2017-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A108956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.