Individual provider Active NPI

Evelyn Hei Yee Chu

  • Speech-Language Pathologist
  • San Mateo, CA
National Provider Identifier
1205317658
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
2015 Pioneer CT
San Mateo, CA 94403-1781
Phone
(510) 250-9199
NPI assigned
Aug 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X F7538032 CA
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

2015 Pioneer CT
San Mateo, CA 94403-1781

Mailing address

674 Naples St
San Francisco, CA 94112-3553
Phone (415) 635-9078

Other practice location 1

7297 Ronson Rd Ste H
San Diego, CA 92111-1428
Phone (858) 278-6603

Other practice location 2

7297 Ronson Rd Ste H
San Diego, CA 92111-1428
Phone (858) 278-6603

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
F7538032CAMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1205317658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "674 NAPLES ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941123553",
            "telephone_number": "415-635-9078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 PIONEER CT",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944031781",
            "telephone_number": "510-250-9199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7297 Ronson Rd Ste H",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921111428",
            "country_code": "US",
            "telephone_number": "858-278-6603",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7297 Ronson Rd Ste H",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921111428",
            "country_code": "US",
            "telephone_number": "858-278-6603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHU",
        "first_name": "EVELYN",
        "middle_name": "HEI YEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-23",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "F7538032",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.