Individual provider Active NPI

Daniel Chu

  • Podiatrist
  • San Diego, CA
National Provider Identifier
1376151498
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E6029 Issued in CA
Practice address
4077 Fifth Ave # Mer35
San Diego, CA 92103-2105
Phone
(619) 260-7220
NPI assigned
Jul 14, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E6029 CA Primary

Addresses

Primary practice location

4077 Fifth Ave # Mer35
San Diego, CA 92103-2105

Mailing address

4077 Fifth Ave # Mer35
San Diego, CA 92103-2105

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240711003772 CA Practitioner - Podiatry 6507301793 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wound Healing Care Specialists IncGroup PAC ID 5698019602, 9 clinicians

Practice addresses (Care Compare)

3536 Concours
Suite 225
Ontario, CA 91764-5585
Phone 90994404865585

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue13
Removal of skin lesions81
Removal of nail tissue3540
Removal or shaving of skin growth1934

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E6029CAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rancho Wound Care Center, PC Podiatrist CurrentSince Aug 21, 2025 Accepting new patients
Mission City Community Network, Inc. Current Accepting new patients
Mission City Community Network, Inc. CurrentSince Jul 7, 2025 Accepting new patients
Mission City Community Network, Inc. CurrentSince Jul 7, 2025 Accepting new patients
Wound Healing Care Specialists, Inc. Podiatrist CurrentSince Jul 1, 2024 Accepting new patients
Foothills Psychological Services, Inc. CurrentSince Aug 1, 2025 Accepting new patients

Locations

8363 Reseda Blvd
Ste 11
Northridge, CA 91324
Phone 8188953100602

3536 Concours
Ste 225
Ontario, CA 91764
Phone (314) 699-9181

1550 N Park Ave
Pomona, CA 91768
Phone (909) 623-0791

10621 Church St
Ste 120
Rch Cucamonga, CA 91730
Phone (909) 944-0481

11343 Base Line Rd
Rch Cucamonga, CA 91730

25044 Peachland Ave
Ste 110
Santa Clarita, CA 91321

15206 Parthenia St
Sepulveda, CA 91343

954 W Foothill Blvd
Ste A
Upland, CA 91786
Phone (909) 946-4222

15201 Eleventh St
Ste 300
Victorville, CA 92395
Phone (760) 245-1640

Organizations & group practices 6

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": "1594684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1376151498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4077 FIFTH AVE # MER35",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4077 FIFTH AVE # MER35",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032105",
            "telephone_number": "619-260-7220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHU",
        "first_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-14",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E6029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.