Active NPI
Dortha T. Chu M.D., Inc
- Surgery Physician
- Valencia, CA
National Provider Identifier
1447526512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A86342
- Legal business name
- DORTHA T. CHU M.D., INC
- Practice address
- 25424 Orchard Village Rd Ste 150
Valencia, CA 91355 - Phone
- (661) 467-2371
- Fax
- (661) 753-8647
- NPI assigned
- Mar 22, 2012
- 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. Dortha Tao-Yi Chu, MD
- Title
- Ceo/Surgeon
- Phone
- (661) 467-2371
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A86342 | CA | Primary |
Addresses
Primary practice location
25424 Orchard Village Rd Ste 150
Valencia, CA 91355
Mailing address
23004 Weymouth PL
Valencia, CA 91354-2041
Phone (661) 678-3696
Other practice location 1
15211 Vanowen St Ste 202
Van Nuys, CA 91405-3625
Phone (818) 782-4232
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0765638 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
15211 Vanowen St
Ste 202
Van Nuys, CA 91405
Phone (818) 782-4232
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgical Oncology Physician
- Van Nuys, CA
- NPI 1023037199
-
- Hematology & Oncology Physician
- Los Angeles, CA
- NPI 1295261873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679875200000",
"number": "1447526512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23004 WEYMOUTH PL",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913542041",
"telephone_number": "661-678-3696",
"fax_number": "888-225-6797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25424 ORCHARD VILLAGE RD STE 150",
"city": "VALENCIA",
"state": "CA",
"postal_code": "91355",
"telephone_number": "661-467-2371",
"fax_number": "661-753-8647"
}
],
"practiceLocations": [
{
"address_1": "15211 Vanowen St Ste 202",
"address_purpose": "LOCATION",
"city": "Van Nuys",
"state": "CA",
"postal_code": "914053625",
"country_code": "US",
"telephone_number": "818-782-4232",
"fax_number": "818-782-4802",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "DORTHA T. CHU M.D., INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-22",
"last_updated": "2023-03-27",
"certification_date": "2023-03-27",
"status": "A",
"authorized_official_last_name": "CHU",
"authorized_official_first_name": "DORTHA",
"authorized_official_middle_name": "TAO-YI",
"authorized_official_title_or_position": "CEO/SURGEON",
"authorized_official_telephone_number": "661-467-2371",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "CA",
"license": "A86342",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0765638",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Valencia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.