Individual provider Active NPI

Tammy Elizabeth Chu, PA

  • Dermatology Physician
  • Arcadia, CA
National Provider Identifier
1407337876
Registry record updated Feb 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
PA55857 Issued in CA
Practice address
612 W Duarte Rd Ste 205
Arcadia, CA 91007-9229
Phone
(626) 446-8809
Fax
(626) 446-8268
NPI assigned
Aug 23, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X PA55857 CA Primary

Addresses

Primary practice location

612 W Duarte Rd Ste 205
Arcadia, CA 91007-9229

Mailing address

525 South Dr Ste 115
Mountain View, CA 94040-4211
Phone (408) 369-5620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190607001161 CA Practitioner - Physician Assistant 3476886359 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skin and Beauty Center IncGroup PAC ID 8628170347, 34 clinicians

Practice addresses (Care Compare)

1577 E Chevy Chase Dr
Suite 320
Glendale, CA 91206-4743
Phone (818) 246-4936

9535 Reseda Blvd
Suite 304
Northridge, CA 91324-6029
Phone (818) 886-3884

Merit-based Incentive Payment System (MIPS)

Final score
93.23 of 100Reported as group
Promoting interoperability
88
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
55857CAMDOrthodontics and Dentofacial Orthopedic Dentist
PA55857CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skin and Beauty Center Inc Single Specialty CurrentSince Aug 24, 2021 Accepting new patients
Skin and Beauty Center (SBC), Inc. Single Specialty CurrentSince Aug 24, 2021 Accepting new patients
Northridge Dermatology Associates Medical Group Inc Single Specialty Current Accepting new patients
Cedars-Sinai Medical Center Single Specialty Past Accepting new patients

Locations

191 S Buena Vista St
Ste 475
Burbank, CA 91505
Phone (818) 322-0126

1577 E Chevy Chase Dr
Ste 320
Glendale, CA 91206
Phone (818) 246-4936

9535 Reseda Blvd
Ste 304
Northridge, CA 91324
Phone (818) 886-3884

Interoperability endpoints

  • Direct secure messaging: tchu@dcm-ca.emadirect.md

Organizations & group practices 6

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": "1534982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550188800000",
    "number": "1407337876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 SOUTH DR STE 115",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404211",
            "telephone_number": "408-369-5620",
            "fax_number": "408-558-7919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 W DUARTE RD STE 205",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910079229",
            "telephone_number": "626-446-8809",
            "fax_number": "626-446-8268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHU",
        "first_name": "TAMMY",
        "middle_name": "ELIZABETH",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-23",
        "last_updated": "2019-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "PA55857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.