Active NPI
Lai Kuen Chu, R.N.
- Community Health Registered Nurse
- San Jose, CA
National Provider Identifier
1376772368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- 696477
- Practice address
- 1715 Lundy Ave
Suites 108-116
San Jose, CA 95131-1837 - Phone
- (408) 573-9686
- Fax
- (408) 573-9685
- NPI assigned
- Jul 10, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 696477 | CA | Primary |
Addresses
Primary practice location
1715 Lundy Ave
Suites 108-116
San Jose, CA 95131-1837
Mailing address
1520 Stockton St
C/O North East Medical Services
San Francisco, CA 94133-3354
Phone (415) 391-9686
Other names 1
- Vicky Chu
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 696477 | CA | MD | Community Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North East Medical Services | Past | Accepting new patients | |
| North East Medical Services | 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.
-
- Community/Retail Pharmacy
- San Jose, CA
- NPI 1902616279
-
- Community/Retail Pharmacy
- San Francisco, CA
- NPI 1992747109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247184000000",
"number": "1376772368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 STOCKTON ST",
"address_2": "C/O NORTH EAST MEDICAL SERVICES",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941333354",
"telephone_number": "415-391-9686",
"fax_number": "415-433-4726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1715 LUNDY AVE",
"address_2": "SUITES 108-116",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951311837",
"telephone_number": "408-573-9686",
"fax_number": "408-573-9685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHU",
"first_name": "LAI",
"middle_name": "KUEN",
"name_prefix": "Ms.",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-10",
"last_updated": "2009-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "CA",
"license": "696477",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "VICKY",
"last_name": "CHU",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.