Individual provider Active NPI

Edward Shin-Sung Chu, D.C.

  • Rehabilitation Chiropractor
  • Sacramento, CA
National Provider Identifier
1326263278
Registry record updated Mar 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
DC 29449 Issued in CA
Practice address
2041 Hallmark Dr Ste 1
Sacramento, CA 95825-2212
Phone
(916) 488-4849
Fax
(916) 929-3299
NPI assigned
Apr 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X DC29449 CA
Rehabilitation Chiropractor 111NR0400X DC 29449 CA Primary

Addresses

Primary practice location

2041 Hallmark Dr Ste 1
Sacramento, CA 95825-2212

Mailing address

2041 Hallmark Dr Ste 1
Sacramento, CA 95825-2212
Phone (916) 488-4849

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29449CAMDClinical Social Worker
DC 29449CAMDRehabilitation Chiropractor
DC29449CAMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Janzen & Janzen Chiropractic Corporation PastSince Apr 1, 2000 Accepting new patients
Edward Chu Movement Solutions Rehabilitation Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552003200000",
    "number": "1326263278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 HALLMARK DR STE 1",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958252212",
            "telephone_number": "916-488-4849",
            "fax_number": "916-929-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 HALLMARK DR STE 1",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958252212",
            "telephone_number": "916-488-4849",
            "fax_number": "916-929-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHU",
        "first_name": "EDWARD",
        "middle_name": "SHIN-SUNG",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2019-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC29449",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "DC 29449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; 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.