Individual provider Active NPI

Connie Chu, FNP-BC

  • Family Nurse Practitioner
  • Laguna Hills, CA
National Provider Identifier
1154281970
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95036227 Issued in CA
Practice address
23141 Moulton Pkwy
#102
Laguna Hills,, CA 92653
Phone
(949) 916-9100
Fax
(949) 916-0091
NPI assigned
Nov 14, 2025
Last updated
Nov 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95036227 CA Primary

Addresses

Primary practice location

23141 Moulton Pkwy
#102
Laguna Hills,, CA 92653

Mailing address

23141 Moulton Pkwy
#102
Laguna Hills, CA 92653
Phone (949) 916-9100

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260114002388 CA Practitioner - Nurse Practitioner 0749766277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Scke IncGroup PAC ID 6608822895, 20 clinicians

Practice addresses (Care Compare)

23141 Moulton Pkwy
Suite 102
Laguna Hills, CA 92653-1241
Phone (949) 916-9100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95036227CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Scke, Inc CurrentSince Feb 1, 2026 Accepting new patients
United Medical Doctors Past Accepting new patients

Locations

23141 Moulton Pkwy
Ste 102
Laguna Hills, CA 92653
Phone (949) 916-9100

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1763078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1154281970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23141 MOULTON PKWY",
            "address_2": "#102",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "92653",
            "telephone_number": "949-916-9100",
            "fax_number": "949-916-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23141 MOULTON PKWY",
            "address_2": "#102",
            "city": "LAGUNA HILLS,",
            "state": "CA",
            "postal_code": "92653",
            "telephone_number": "949-916-9100",
            "fax_number": "949-916-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHU",
        "first_name": "CONNIE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-14",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95036227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.