Organization Active NPI

Evangeline Chu MD a Medical Corporation

  • Obstetrics & Gynecology Physician
  • Newport Beach, CA
National Provider Identifier
1104190461
Registry record updated Mar 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G84146 Issued in CA
Legal business name
EVANGELINE CHU MD A MEDICAL CORPORATION
Practice address
351 Hospital Rd Ste 514
Newport Beach, CA 92663-3500
Phone
(949) 650-0341
NPI assigned
Mar 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2012

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

Authorized official

Name
Evangeline Chu
Title
President
Phone
(949) 650-0341

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X G84146 CA Primary

Addresses

Primary practice location

351 Hospital Rd Ste 514
Newport Beach, CA 92663-3500

Mailing address

351 Hospital Rd Ste 514
Newport Beach, CA 92663-3500
Phone (949) 650-0341

National Provider Directory

National Provider Directory

Locations

361 Hospital Rd
Ste 223
Newport Beach, CA 92663
Phone (949) 645-9933

351 Hospital Rd
Ste 514
Newport Beach, CA 92663
Phone (949) 574-9709

NPI Registry JSON

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

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330905600000",
    "number": "1104190461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 HOSPITAL RD STE 514",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633500",
            "telephone_number": "949-650-0341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 HOSPITAL RD STE 514",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633500",
            "telephone_number": "949-650-0341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANGELINE CHU MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-05",
        "last_updated": "2012-03-05",
        "status": "A",
        "authorized_official_last_name": "CHU",
        "authorized_official_first_name": "EVANGELINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-650-0341"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G84146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.