Active NPI
Joan Frances C Chua, MD
- Internal Medicine Physician
- Anthem, AZ
National Provider Identifier
1114030392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 31697
- Practice address
- 3655 W Anthem Way
Ste a-109; PMB 313
Anthem, AZ 85086-0430 - Phone
- (623) 879-5288
- NPI assigned
- Aug 15, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 31697 | AZ | Primary |
Addresses
Primary practice location
3655 W Anthem Way
Ste a-109; PMB 313
Anthem, AZ 85086-0430
Mailing address
PO Box 5815
Peoria, AZ 85385-5815
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 795974 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390262400000",
"number": "1114030392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5815",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853855815",
"fax_number": "623-455-3317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3655 W ANTHEM WAY",
"address_2": "STE A-109; PMB 313",
"city": "ANTHEM",
"state": "AZ",
"postal_code": "850860430",
"telephone_number": "623-879-5288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUA",
"first_name": "JOAN FRANCES",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-15",
"last_updated": "2014-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "31697",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "795974",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anthem, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.