Active NPI
Bor-Han Chiu, D.O.
- Infectious Disease Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 20A15498
- Practice address
- 11103 Venice Blvd
Los Angeles, CA 90034-6914 - Phone
- (310) 734-8526
- NPI assigned
- Mar 12, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 20A15498 | CA | |
| Infectious Disease Physician | 207RI0200X | 20A15498 | CA | Primary |
Addresses
Primary practice location
11103 Venice Blvd
Los Angeles, CA 90034-6914
Mailing address
11103 Venice Blvd
Los Angeles, CA 90034-6914
Other practice location 1
155 N Fresno St
Fresno, CA 93701
Phone (559) 499-6500
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
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
11103 Venice Blvd
Los Angeles, CA 90034-6914
Phone (323) 673-8168
Hospital & facility affiliations
- Centinela Hospital Medical Center
- Saint Francis Medical Center
- Pih Health Hospital-Whittier
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A15498 | CA | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minghsun Liu, M.D., PC | Infectious Disease | Current | Accepting new patients |
| Bor-Han Chiu, DO, PC | Infectious Disease | Current | Accepting new patients |
| Duke Health Lake Norman Regional Medical Center, Inc. | Past | Accepting new patients |
Locations
11103 Venice Blvd
Los Angeles, CA 90034
Phone (310) 734-8526
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 3
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.
-
- Infectious Disease Physician
- Los Angeles, CA
- NPI 1114537990
-
- Infectious Disease Physician
- Los Angeles, CA
- NPI 1518309368
-
- General Acute Care Hospital
- Mooresville, NC
- NPI 1114731064
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Whittier, CA
- NPI 1043215379
-
- General Acute Care Hospital
- Inglewood, CA
- NPI 1336328244
-
- General Acute Care Hospital
- Lynwood, CA
- NPI 1114547114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596585600000",
"number": "1306239470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11103 VENICE BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900346914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11103 VENICE BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900346914",
"telephone_number": "310-734-8526"
}
],
"practiceLocations": [
{
"address_1": "155 N Fresno St",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "93701",
"country_code": "US",
"telephone_number": "559-499-6500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHIU",
"first_name": "BOR-HAN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-12",
"last_updated": "2020-08-05",
"certification_date": "2020-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "20A15498",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "CA",
"license": "20A15498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; 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.