Individual provider Active NPI

David Chuang, DPM

  • Podiatrist
  • Los Gatos, CA
National Provider Identifier
1194107938
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E5438 Issued in CA
Practice address
317 Los Gatos Saratoga Rd
Los Gatos, CA 95030-5310
Phone
(650) 731-2562
Fax
(855) 877-7015
NPI assigned
Jun 28, 2015
Reactivated
Aug 22, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E5438 CA Primary

Addresses

Primary practice location

317 Los Gatos Saratoga Rd
Los Gatos, CA 95030-5310

Mailing address

1030 Pennington LN
Cupertino, CA 95014-4930
Phone (408) 786-7677

Other practice location 1

1030 Pennington Ln
Cupertino, CA 95014
Phone (408) 786-7677

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

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: dchuang140947@santaclaravalley.direct-ci.net

NPI Registry JSON

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

{
    "created_epoch": "1435449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1194107938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 PENNINGTON LN",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950144930",
            "telephone_number": "408-786-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 LOS GATOS SARATOGA RD",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950305310",
            "telephone_number": "650-731-2562",
            "fax_number": "855-877-7015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1030 Pennington Ln",
            "address_purpose": "LOCATION",
            "city": "Cupertino",
            "state": "CA",
            "postal_code": "95014",
            "country_code": "US",
            "telephone_number": "408-786-7677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUANG",
        "first_name": "DAVID",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-28",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "deactivation_date": "2018-07-26",
        "reactivation_date": "2018-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E5438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; 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.