Individual provider Active NPI

Shun Leung Chu

  • Specialist
  • Pleasant Hill, CA
National Provider Identifier
1417416561
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
761 Duke Cir
Pleasant Hill, CA 94523-1534
Phone
(925) 899-8143
NPI assigned
Mar 18, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

761 Duke Cir
Pleasant Hill, CA 94523-1534

Mailing address

761 Duke Cir
Pleasant Hill, CA 94523-1534
Phone (925) 899-8143

Other practice location 1

130 La Casa Via
Building 2, suite 110
Walnut Creek, CA 94598
Phone (925) 476-5379

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://app.kareo.com/login-ui/#/login

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1417416561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 DUKE CIR",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945231534",
            "telephone_number": "925-899-8143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 DUKE CIR",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945231534",
            "telephone_number": "925-899-8143"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 La Casa Via",
            "address_2": "Building 2, suite 110",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "94598",
            "country_code": "US",
            "telephone_number": "925-476-5379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHU",
        "first_name": "SHUN LEUNG",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-18",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://app.kareo.com/login-ui/#/login",
            "affiliation": "N",
            "address_1": "130 La Casa Via",
            "address_2": "Building 2, suite 110",
            "city": "Walnut Creek",
            "state": "CA",
            "country_code": "US",
            "postal_code": "94598",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pleasant Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.