Organization Active NPI

Chu Chiropractic, Inc

  • Chiropractor
  • Hacienda Heights, CA
National Provider Identifier
1346476686
Registry record updated Jun 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC28643 Issued in CA
Legal business name
CHU CHIROPRACTIC, INC
Practice address
1615 S Azusa Ave
Hacienda Heights, CA 91745-3832
Phone
(626) 810-5559
Fax
(626) 810-0037
NPI assigned
Jun 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2009

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

Authorized official

Name
Dr. Gary Chu, D.C.NPI 1104856798
Title
President
Phone
(626) 810-5559

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC28643 CA Primary

Addresses

Primary practice location

1615 S Azusa Ave
Hacienda Heights, CA 91745-3832

Mailing address

1615 S Azusa Ave
Hacienda Heights, CA 91745-3832
Phone (626) 810-5559

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090626000049 CA Part B Supplier - Clinic/Group Practice 8921159203 Receives reassigned benefits from 1 practitioner
Practice locations: West Covina, CA

National Provider Directory

National Provider Directory

Locations

1615 S Azusa Ave
Hacienda Heights, CA 91745
Phone (626) 810-5559

2707 E Valley Blvd
Ste 112
West Covina, CA 91792
Phone (626) 810-5559

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243814400000",
    "number": "1346476686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 S AZUSA AVE",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917453832",
            "telephone_number": "626-810-5559",
            "fax_number": "626-810-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 S AZUSA AVE",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917453832",
            "telephone_number": "626-810-5559",
            "fax_number": "626-810-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHU CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-01",
        "last_updated": "2009-06-01",
        "status": "A",
        "authorized_official_last_name": "CHU",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-810-5559",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hacienda Heights, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2009; 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.