Active NPI
Victor Chu DDS a Professional Corporation
- Durable Medical Equipment & Medical Supplies
- Irvine, CA
National Provider Identifier
1396425567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240110003365 | CA | DME Supplier - Oral Surgery - Dentist | 1153772579 | Practice locations: Irvine, CA |
National Provider Directory
National Provider DirectoryLocations
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.