Active NPI
Jeffrey Liu Chow, DO
- Nephrology Physician
- Granada Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 20A19148
- Practice address
- 10605 Balboa Blvd Ste 240
Granada Hills, CA 91344-6374 - Phone
- (818) 366-4626
- Fax
- (818) 366-4630
- NPI assigned
- May 15, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 20A19148 | CA | Primary |
Addresses
Primary practice location
10605 Balboa Blvd Ste 240
Granada Hills, CA 91344-6374
Mailing address
10605 Balboa Blvd Ste 240
Granada Hills, CA 91344-6374
Phone (183) 668-4626
Other practice location 1
23928 Lyons Ave # 105240
Newhall, CA 91321-2409
Phone (661) 254-0193
Other practice location 2
200 W Arbor Dr
San Diego, CA 92103-9000
Phone (619) 543-4619
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
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 |
|---|---|---|---|---|
| I20230619000438 | CA | Practitioner - Internal Medicine | 7911255757 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Campbell Univ School of Osteopathic Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southern California Permanente Medical Group
Practice addresses (Care Compare)
2295 S Vineyard Ave
Ontario, CA 91761-7925
Phone (909) 724-5000
9961 Sierra Ave
Fontana, CA 92335-6720
Phone (909) 427-5000
Hospital & facility affiliations
- Kaiser Foundation Hospital Fontana/Ontario
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A19148 | CA | MD | Nephrology Physician |
Practice roles (6 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Renal Consultants Medical Group | Nephrology | Current | Accepting new patients |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients |
Locations
9961 Sierra Ave
Fontana, CA 92335
Phone (909) 427-3910
10605 Balboa Blvd
Ste 240
Granada Hills, CA 91344
Phone (818) 366-3935
23928 Lyons Ave
Ste 105
Newhall, CA 91321
Phone (661) 254-0193
18433 Roscoe Blvd
Ste 202
Northridge, CA 91325
Phone (818) 349-1262
393 E Walnut St
Fl 5
Pasadena, CA 91188
Phone (310) 403-3235
1255 W Arrow Hwy
San Dimas, CA 91773
Phone (909) 394-2526
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 8
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.
-
- Health Maintenance Organization
- Riverside, CA
- NPI 1316979834
CA
-
- Health Maintenance Organization
- Baldwin Park, CA
- NPI 1770515280
CA
-
- Clinical Medical Laboratory
- N Hollywood, CA
- NPI 1891873303
-
- Health Maintenance Organization
- Woodland Hills, CA
- NPI 1952333478
-
- Health Maintenance Organization
- Santa Clarita, CA
- NPI 1316409410
-
- Health Maintenance Organization
- Fontana, CA
- NPI 1316463763
-
- Health Maintenance Organization
- Rosemead, CA
- NPI 1942787114
Hospital & facility affiliations 1
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": "1526342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729814400000",
"number": "1285124222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10605 BALBOA BLVD STE 240",
"city": "GRANADA HILLS",
"state": "CA",
"postal_code": "913446374",
"telephone_number": "183-668-4626",
"fax_number": "818-366-4630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10605 BALBOA BLVD STE 240",
"city": "GRANADA HILLS",
"state": "CA",
"postal_code": "913446374",
"telephone_number": "818-366-4626",
"fax_number": "818-366-4630"
}
],
"practiceLocations": [
{
"address_1": "23928 Lyons Ave # 105240",
"address_purpose": "LOCATION",
"city": "Newhall",
"state": "CA",
"postal_code": "913212409",
"country_code": "US",
"telephone_number": "661-254-0193",
"fax_number": "661-254-2248",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 W Arbor Dr",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921039000",
"country_code": "US",
"telephone_number": "619-543-4619",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHOW",
"first_name": "JEFFREY",
"middle_name": "LIU",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-15",
"last_updated": "2024-10-25",
"certification_date": "2024-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "CA",
"license": "20A19148",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Southern California Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "9961 Sierra Ave",
"city": "Fontana",
"state": "CA",
"country_code": "US",
"postal_code": "923356720",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Granada Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; 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.