Individual provider Active NPI

Priscilla Woo Chow, NP

  • Family Nurse Practitioner
  • Laguna Hills, CA
National Provider Identifier
1376510743
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
334055 Issued in CA
Practice address
23521 Paseo de Valencia
Suite 311
Laguna Hills, CA 92653-3107
Phone
(949) 305-2660
Fax
(949) 305-2036
NPI assigned
Mar 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 334055 CA Primary
Gerontology Nurse Practitioner 363LG0600X 334055 CA

Addresses

Primary practice location

23521 Paseo de Valencia
Suite 311
Laguna Hills, CA 92653-3107

Mailing address

25982 Pala
Ste 120
Mission Viejo, CA 92691-6724
Phone (949) 305-2660

Other names 1

  • Priscilla Chow Professional name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071203000698 CA Practitioner - Nurse Practitioner 0042309726 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
6686CAMDClinical Social Worker
334055CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jeremy la Motte MD CurrentSince May 24, 2020 Accepting new patients

Locations

25982 Pala
Ste 120
Mission Viejo, CA 92691
Phone (949) 900-2393

1300 Avenida Vista Hermosa
Ste 100
San Clemente, CA 92673
Phone (949) 218-3001

Interoperability endpoints

  • Direct secure messaging: priscilla.chow.p7@direct.monarchhealthcare.nextgenshare.com
  • Direct secure messaging: priscilla.chow.1@20552.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/20552/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1376510743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25982 PALA",
            "address_2": "STE 120",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916724",
            "telephone_number": "949-305-2660",
            "fax_number": "949-305-2036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23521 PASEO DE VALENCIA",
            "address_2": "SUITE 311",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533107",
            "telephone_number": "949-305-2660",
            "fax_number": "949-305-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOW",
        "first_name": "PRISCILLA",
        "middle_name": "WOO",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-03",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "334055",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "334055",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PRISCILLA",
            "last_name": "CHOW",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.