Individual provider Active NPI

Peter Chu, MD

  • Emergency Medicine Physician
  • Palm Springs, CA
National Provider Identifier
1396788014
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
200388 Issued in LA
Practice address
275 N El Cielo Rd
Palm Springs, CA 92262-6972
Phone
(760) 323-8657
Fax
(760) 318-9083
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 200388 LA Primary

Addresses

Primary practice location

275 N El Cielo Rd
Palm Springs, CA 92262-6972

Mailing address

275 N El Cielo Rd
Palm Springs, CA 92262-6972
Phone (760) 323-8657

Other identifiers 1

IdentifierTypeStateIssuer
1052914MedicaidLA

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051005000222 LA Practitioner - Family PracticePractitioner - Emergency Medicine 9537194931 Reassigns benefits to 5 organizations
I20130313000310 CA Practitioner - Family Practice 9537194931 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
55407CAMDDentist
200388LAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Medical Group, Inc. Emergency Medicine CurrentSince Jun 14, 2014 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Mar 20, 2019 Accepting new patients
Jefferson Davis Emergency Group LLC Emergency Medicine CurrentSince Sep 9, 2019 Accepting new patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Mar 20, 2019 Accepting new patients
Chase Dennis Emergency Medical Group Inc Emergency Medicine CurrentSince Jan 26, 2013 Accepting new patients
Emergency Staffing Solutions Inc Emergency Medicine CurrentSince Jun 26, 2019 Accepting new patients
Ess Hospitalist LLC CurrentSince Jun 26, 2019 Accepting new patients
South Central Physicians PLLC CurrentSince Jul 31, 2019 Accepting new patients
Sulphur Emergency Group LLC Emergency Medicine Past Accepting new patients
C & M Medical Services, Inc. Past Accepting new patients
Intercare Medical Group, Inc. Past Accepting new patients

Locations

81880 Doctor Carreon Blvd
Ste C108
Indio, CA 92201
Phone (760) 775-9641

72605 Highway 111
Palm Desert, CA 92260
Phone (760) 404-0135

275 N El Cielo Rd
Palm Springs, CA 92262
Phone (760) 320-8814

275 N El Cielo Rd
Ste D402
Palm Springs, CA 92262
Phone (310) 650-6729

1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616

57840 29 Palms Hwy
Ste A
Yucca Valley, CA 92284
Phone (760) 323-8657

600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100

187 Ninth St
Jena, LA 71342
Phone (318) 992-9200

1634 Elton Rd
Jennings, LA 70546
Phone (337) 616-7000

165 Beech Springs Rd
Jonesboro, LA 71251
Phone (318) 259-4435

207 Jefferson St
Mansfield, LA 71052
Phone (318) 871-3109

Organizations & group practices 11

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1396788014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 N EL CIELO RD",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922626972",
            "telephone_number": "760-323-8657",
            "fax_number": "760-318-9083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 N EL CIELO RD",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922626972",
            "telephone_number": "760-323-8657",
            "fax_number": "760-318-9083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHU",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "200388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1052914",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1011 Baldwin Park Blvd",
            "city": "Baldwin Park",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917065806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

Verify at the official NPI Registry.