Theodore J. Chu, MD, Allergy and Asthma, Inc.

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

G12838 Issued in CA

Legal business name

THEODORE J. CHU, MD, ALLERGY AND ASTHMA, INC.

Practice address

130 Bellerose Dr
San Jose, CA 95128-1729

Phone

(408) 816-8923

Fax

(669) 242-7914

NPI assigned

Jun 1, 2018

Organization subpart

No

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

Authorized official

Name

Theodore J Chu, MDNPI 1194765123

Title

President

Phone

(408) 816-8923

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Theodore J Chu, M.D.

  • Allergy Physician
  • San Jose, CA
  • NPI 1194765123
  Medicare reassignment Authorized official
• Tina L. R. Dominguez, PA-C, MMS

  • Physician Assistant
  • San Ramon, CA
  • NPI 1922305671

  Allergy

  NPD (past)

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595462400000",
    "number": "1225520547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 BELLEROSE DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281729",
            "telephone_number": "408-816-8923",
            "fax_number": "669-242-7914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 BELLEROSE DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281729",
            "telephone_number": "408-816-8923",
            "fax_number": "669-242-7914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEODORE J. CHU, MD, ALLERGY AND ASTHMA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-01",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A",
        "authorized_official_last_name": "CHU",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-816-8923",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "CA",
            "license": "G12838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rohenna Thiara

• Allergy Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Allergy Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.