Noel TD Chiu MD a Medical Corporation

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A75814 Issued in CA

Legal business name

NOEL TD CHIU MD A MEDICAL CORPORATION

Practice address

3436 Hillcrest Ave
Suite 150
Antioch, CA 94531-6304

Phone

(925) 754-6767

Fax

(925) 754-0137

NPI assigned

Jul 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Noel Chiu, M.D.NPI 1861458259

Title

Owner

Phone

(925) 754-6767

Specialties & licenses 6

Addresses

Other identifiers 2

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.

• Noel Tsun-Dah Chiu, MD

  • Dermatology Physician
  • Antioch, CA
  • NPI 1861458259
  Medicare reassignment NPD Authorized official
• David Allen Fisher, M.D.

  • Specialist
  • Antioch, CA
  • NPI 1053337113
  NPD (past)

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412035200000",
    "number": "1316970759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1312",
            "city": "ALAMO",
            "state": "CA",
            "postal_code": "945077312",
            "telephone_number": "925-754-6767",
            "fax_number": "925-754-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3436 HILLCREST AVE",
            "address_2": "SUITE 150",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945316304",
            "telephone_number": "925-754-6767",
            "fax_number": "925-754-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOEL TD CHIU MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2014-09-30",
        "status": "A",
        "authorized_official_last_name": "CHIU",
        "authorized_official_first_name": "NOEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-754-6767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A75814",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "A75814",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": "CA",
            "license": "A75814",
            "primary": false
        },
        {
            "code": "207NI0002X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": "CA",
            "license": "A75814",
            "primary": false
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "CA",
            "license": "A75814",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "A75814",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A758140",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD ID",
            "identifier": "ZZZ65527Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Nieves
• Puneet Nirankari, DC
• Darien Lee Nisbett, ACSW
• Brandon Lee Nissen, DC
• Noble O. Elcenko, D.C., Inc
• Meagan A. Nolan, M.A.
• Roya Noorishad, MD
• Norcal Care Centers, Inc
• Cade L Norde
• Cyncere Faith Norde

• Dermatology Physician in Antioch, CA
• Providers in Antioch, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; 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.