Dennis Alphonsus G Chua, OTR/L

Primary specialty

Gerontology Occupational TherapistTaxonomy code 225XG0600X

License

12463 Issued in CA

Practice address

1326 Melstone St
Beaumont, CA 92223-3258

Phone

(909) 901-3100

NPI assigned

Apr 26, 2010

Last updated

Feb 3, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dennis Alphonsus G Reyes Chua Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1306163746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 MELSTONE ST",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922233258",
            "telephone_number": "909-901-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 MELSTONE ST",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922233258",
            "telephone_number": "909-901-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUA",
        "first_name": "DENNIS ALPHONSUS",
        "middle_name": "G",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-26",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "NJ",
            "license": "46TR00515700",
            "primary": false
        },
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "CA",
            "license": "12463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENNIS ALPHONSUS G",
            "last_name": "CHUA",
            "middle_name": "REYES",
            "credential": "OTD, OTR/L, CAPS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Chung Koang Chhen, PHARM.D
• Robert CHI, MD
• Chika Ugwu & Company, Inc
• Chika Ugwu & Company, Inc
• Raymond Chu
• Julie Ana M Chua, SLP
• Shearn Chua
• Julie Ann Church
• Clarity Advanced Nursing Practice, Inc
• Elizabeth Clark, MSW

• Gerontology Occupational Therapist in Beaumont, CA
• Providers in Beaumont, CA by specialty
• Gerontology Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.