Organization Active NPI

Dortha T. Chu M.D., Inc

  • Surgery Physician
  • Valencia, CA
National Provider Identifier
1447526512
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A86342 Issued in CA
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

Updated by the provider on Mar 27, 2023

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0765638MedicaidCA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.