Organization Active NPI

Victor Chu DDS a Professional Corporation

  • Durable Medical Equipment & Medical Supplies
  • Irvine, CA
National Provider Identifier
1396425567
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
VICTOR CHU DDS A PROFESSIONAL CORPORATION
Practice address
16520 Bake Pkwy Ste 135
Irvine, CA 92618-4693
Phone
(949) 559-6888
NPI assigned
Jul 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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

Authorized official

Name
Victor Chu
Title
Owner
Phone
(949) 559-6888

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

16520 Bake Pkwy Ste 135
Irvine, CA 92618-4693

Mailing address

16520 Bake Pkwy Ste 135
Irvine, CA 92618-4693
Phone (949) 559-6888

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240110003365 CA DME Supplier - Oral Surgery - Dentist 1153772579 Practice locations: Irvine, CA

National Provider Directory

National Provider Directory

Locations

16520 Bake Pkwy
Ste 135
Irvine, CA 92618
Phone (559) 788-2532

NPI Registry JSON

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

{
    "created_epoch": "1689897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689897600000",
    "number": "1396425567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16520 BAKE PKWY STE 135",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926184693",
            "telephone_number": "949-559-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16520 BAKE PKWY STE 135",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926184693",
            "telephone_number": "949-559-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR CHU DDS A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-21",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A",
        "authorized_official_last_name": "CHU",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-559-6888"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; 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.