Active NPI
Sufen Chiu, M.D., Psychiatrist, Inc.
- Psychiatry Physician
- Davis, CA
National Provider Identifier
1396943833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G86593
- Legal business name
- SUFEN CHIU, M.D., PSYCHIATRIST, INC.
- Practice address
- 2657 Portage Bay E Ste 3
Davis, CA 95616-3040 - Phone
- (530) 219-2750
- Fax
- (877) 844-1699
- NPI assigned
- Jul 5, 2007
- 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
- Dr. Sufen Chiu, M.D.
- Title
- President
- Phone
- (530) 219-2750
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G86593 | CA | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | G86593 | CA |
Addresses
Primary practice location
2657 Portage Bay E Ste 3
Davis, CA 95616-3040
Mailing address
PO Box 73284
Davis, CA 95617-3284
Phone (530) 219-2750
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G865930 | Medicaid | CA | |
| 1336124486 | Other | CA | INDIVIDUAL NPI |
National Provider Directory
National Provider DirectoryLocations
2657 Portage Bay E
Ste 3
Davis, CA 95616
Phone (530) 219-2750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183593600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1348790400000",
"number": "1396943833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 73284",
"city": "DAVIS",
"state": "CA",
"postal_code": "956173284",
"telephone_number": "530-219-2750",
"fax_number": "877-844-1699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2657 PORTAGE BAY E STE 3",
"city": "DAVIS",
"state": "CA",
"postal_code": "956163040",
"telephone_number": "530-219-2750",
"fax_number": "877-844-1699"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUFEN CHIU, M.D., PSYCHIATRIST, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-05",
"last_updated": "2012-09-28",
"status": "A",
"authorized_official_last_name": "CHIU",
"authorized_official_first_name": "SUFEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "530-219-2750",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G86593",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CA",
"license": "G86593",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G865930",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1336124486",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Davis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.