Active NPI
Elaine Yeeling Chu, MD
- Family Medicine Physician
- Glendale, CA
National Provider Identifier
1194892919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A47836
- Practice address
- 3527 Ocean View Blvd
Glendale, CA 91208-1211 - Phone
- (818) 279-8199
- NPI assigned
- Nov 29, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A47836 | CA | Primary |
Addresses
Primary practice location
3527 Ocean View Blvd
Glendale, CA 91208-1211
Mailing address
466 Foothill Blvd # 181
La Canada, CA 91011-3518
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A478360 | Medicaid | CA |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090505000494 | CA | Practitioner - Family Practice | 8729136528 | Practice locations: Glendale, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3527 Ocean View Blvd
Glendale, CA 91208-1211
Phone (818) 724-8947
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": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262217600000",
"number": "1194892919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "466 FOOTHILL BLVD # 181",
"city": "LA CANADA",
"state": "CA",
"postal_code": "910113518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3527 OCEAN VIEW BLVD",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912081211",
"telephone_number": "818-279-8199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHU",
"first_name": "ELAINE",
"middle_name": "YEELING",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2009-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A47836",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A478360",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2009; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.