Individual provider Active NPI

George Lopez Chua, NP-C, MSN, RN

  • School Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1275977498
Registry record updated Apr 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Nurse PractitionerTaxonomy code 363LS0200X
License
675609 Issued in CA
Practice address
121 N Beaudry Avenue,
Nursing Services, Roybal Annex
Los Angeles, CA 90012-2009
Phone
(213) 202-7580
Fax
(213) 580-6558
NPI assigned
Apr 18, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Nurse Practitioner 363LS0200X 675609 CA Primary

Addresses

Primary practice location

121 N Beaudry Avenue,
Nursing Services, Roybal Annex
Los Angeles, CA 90012-2009

Mailing address

121 N. Beaudry Avenue,
Nursing Services, Roybal Annex
Los Angeles, CA 90012-2009
Phone (213) 202-7580

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160913002154 CA Order and Referring Only - Nurse Practitioner 4587950886

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1366243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366243200000",
    "number": "1275977498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 N. BEAUDRY AVENUE,",
            "address_2": "NURSING SERVICES, ROYBAL ANNEX",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900122009",
            "telephone_number": "213-202-7580",
            "fax_number": "213-580-6558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 N BEAUDRY AVENUE,",
            "address_2": "NURSING SERVICES, ROYBAL ANNEX",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900122009",
            "telephone_number": "213-202-7580",
            "fax_number": "213-580-6558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUA",
        "first_name": "GEORGE",
        "middle_name": "LOPEZ",
        "credential": "NP-C, MSN, RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-18",
        "last_updated": "2013-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LS0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, School",
            "state": "CA",
            "license": "675609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.