Active NPI
Jeff W Chiu, D.O.
- Emergency Medicine Physician
- San Jose, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 20A15789
- Practice address
- 851 S Bacom Ave
San Jose, CA 95128 - Phone
- (408) 885-5000
- Fax
- (513) 715-4076
- NPI assigned
- Jul 22, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A15789 | CA | |
| Emergency Medicine Physician | 207P00000X | 20A15789 | CA | Primary |
Addresses
Primary practice location
851 S Bacom Ave
San Jose, CA 95128
Mailing address
1001 Galaxy Way Ste 400
Concord, CA 94520-5725
Phone (925) 482-8402
Other practice location 1
2222 Bancroft Way
Berkeley, CA 94720-4301
Phone (510) 642-6621
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A15789 | CA | MD | Family Medicine Physician |
| 15789 | CA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Contra Costa County | Current | Accepting new patients | |
| Chavez Emergency Physicians Medical Group, Inc. | Emergency Medicine | Current | Accepting new patients |
| County of Santa Clara | Current | Accepting new patients | |
| Contra Costa County | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| Sonoma Valley Emergency Physicians Medical Group, Inc | Emergency Medicine | Current | Accepting new patients |
| County of Santa Clara | Emergency Medicine | Current | Accepting new patients |
Locations
7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400
2500 Alhambra Ave
Martinez, CA 94553
Phone (925) 370-5000
400 N McDowell Blvd
Petaluma, CA 94954
Phone (707) 778-1111
1065 Bucks Lake Rd
Quincy, CA 95971
Phone (530) 283-2121
750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320
1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846
500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433
2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050
751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110
1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320
2523 El Portal Dr
Ste 206
San Pablo, CA 94806
Phone (510) 215-3730
660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366
Interoperability endpoints
- jchiu137074@santaclaravalley.direct-ci.net
Organizations & group practices 10
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.
-
- Emergency Medicine Physician
- Quincy, CA
- NPI 1689045015
-
- Adult Mental Health Clinic/Center
- San Pablo, CA
- NPI 1376620336
-
- Federally Qualified Health Center (FQHC)
- San Jose, CA
- NPI 1629301346
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1699885079
-
- Emergency Medicine Physician
- Sonoma, CA
- NPI 1710164629
-
- General Acute Care Hospital
- Martinez, CA
- NPI 1386719086
-
- Federally Qualified Health Center (FQHC)
- San Jose, CA
- NPI 1043354020
-
- Federally Qualified Health Center (FQHC)
- Sunnyvale, CA
- NPI 1336326974
-
- Pharmacy
- San Jose, CA
- NPI 1891871919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596153600000",
"number": "1104279348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 GALAXY WAY STE 400",
"city": "CONCORD",
"state": "CA",
"postal_code": "945205725",
"telephone_number": "925-482-8402",
"fax_number": "925-482-2825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "851 S BACOM AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95128",
"telephone_number": "408-885-5000",
"fax_number": "513-715-4076"
}
],
"practiceLocations": [
{
"address_1": "2222 Bancroft Way",
"address_purpose": "LOCATION",
"city": "Berkeley",
"state": "CA",
"postal_code": "947204301",
"country_code": "US",
"telephone_number": "510-642-6621",
"fax_number": "510-642-1801",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHIU",
"first_name": "JEFF",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-22",
"last_updated": "2020-07-31",
"certification_date": "2020-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A15789",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "20A15789",
"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 Jul 31, 2020; 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.