Active NPI
Peter Hor-Tao Chiu
- Internal Medicine Physician
- San Gabriel, CA
National Provider Identifier
1114208287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G76879
- Legal business name
- PETER HOR-TAO CHIU
- Practice address
- 416 W Las Tunas Dr
Suite 303
San Gabriel, CA 91776-1236 - Phone
- (626) 299-7100
- Fax
- (626) 299-7103
- NPI assigned
- Sep 2, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Peter H Chiu
- Title
- Doctor of Internal Medicine
- Phone
- (626) 299-7100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G76879 | CA | Primary |
Addresses
Primary practice location
416 W Las Tunas Dr
Suite 303
San Gabriel, CA 91776-1236
Mailing address
416 W Las Tunas Dr
Suite 303
San Gabriel, CA 91776-1236
Phone (626) 299-7100
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G076879 | Other | CA | STATE LICENSE |
| 00G768790 | Medicaid | CA | |
| 0076890 | Other | CA | BLUE SHIELD |
| 7914016 | Other | CA | AETNA |
| G076879 | Other | CA | BLUE CROSS |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- San Gabriel, CA
- NPI 1740338151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1114208287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 W LAS TUNAS DR",
"address_2": "SUITE 303",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917761236",
"telephone_number": "626-299-7100",
"fax_number": "626-299-7103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 W LAS TUNAS DR",
"address_2": "SUITE 303",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917761236",
"telephone_number": "626-299-7100",
"fax_number": "626-299-7103"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PETER HOR-TAO CHIU",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-02",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "CHIU",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "DOCTOR OF INTERNAL MEDICINE",
"authorized_official_telephone_number": "626-299-7100",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "G76879",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "G076879",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G768790",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "0076890",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7914016",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "G076879",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Gabriel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.