Individual provider Active NPI

Clifford Chew, MD

  • Otolaryngology Physician
  • San Francisco, CA
National Provider Identifier
1215036066
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A624720 Issued in CA
Practice address
929 Clay St
Suite 501
San Francisco, CA 94108
Phone
(415) 433-7945
Fax
(415) 433-1231
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X A624720 CA Primary

Addresses

Primary practice location

929 Clay St
Suite 501
San Francisco, CA 94108

Mailing address

929 Clay St
Suite 501
San Francisco, CA 94108
Phone (415) 433-7945

Other identifiers 1

IdentifierTypeStateIssuer
9864433MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070103000286 CA Practitioner - Otolaryngology 7113927831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

929 Clay St
Suite 501
San Francisco, CA 94108-1500
Phone (415) 433-7945

Hospital & facility affiliations

  • Chinese Hospital Hospital, San Francisco, CA, CCN 050407
  • California Pacific Medical Center- Van Ness Campus Hospital, San Francisco, CA, CCN 050047
  • UCSF Health St. Mary'S Hospital Hospital, San Francisco, CA, CCN 050457
  • UCSF Health Saint Francis Hospital Hospital, San Francisco, CA, CCN 050152

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A624720CAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Ear Nose and Throat Associates Inc Otolaryngology CurrentSince Jun 12, 2006 Accepting new patients

Locations

929 Clay St
Ste 501
San Francisco, CA 94108
Phone (415) 433-7945

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: clifford.chew@11050384359428.direct.elationemr.com

Organizations & group practices 1

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321920000000",
    "number": "1215036066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 CLAY ST",
            "address_2": "SUITE 501",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94108",
            "telephone_number": "415-433-7945",
            "fax_number": "415-433-1231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 CLAY ST",
            "address_2": "SUITE 501",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94108",
            "telephone_number": "415-433-7945",
            "fax_number": "415-433-1231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEW",
        "first_name": "CLIFFORD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2011-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A624720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9864433",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.