Active NPI
Tammy Elizabeth Chu, PA
- Dermatology Physician
- Arcadia, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- PA55857
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 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
Enrollment records 1
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
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 100
- Promoting interoperability
- 88
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55857 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| PA55857 | CA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skin and Beauty Center Inc | Single Specialty | Current | Accepting new patients |
| Skin and Beauty Center (SBC), Inc. | Single Specialty | Current | 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
- 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.
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- San Pedro, CA
- NPI 1871909804
-
- Dermatology Physician
- West Covina, CA
- NPI 1346451887
-
- Dermatology Physician
- Northridge, CA
- NPI 1346261617
Single Specialty
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
Single Specialty
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.