Active NPI
Edward Lo Chiu
- Nurse Practitioner
- Fresno, CA
National Provider Identifier
1447904628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95018530
- Practice address
- 6169 N Thesta St
Fresno, CA 93710-5266 - Phone
- (559) 435-1757
- NPI assigned
- Feb 7, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95018530 | CA | Primary |
Addresses
Primary practice location
6169 N Thesta St
Fresno, CA 93710-5266
Mailing address
599 Collins Dr Apt 12
Merced, CA 95348-3129
Phone (209) 500-9562
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95018530 | CA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644192000000",
"number": "1447904628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "599 COLLINS DR APT 12",
"city": "MERCED",
"state": "CA",
"postal_code": "953483129",
"telephone_number": "209-500-9562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6169 N THESTA ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937105266",
"telephone_number": "559-435-1757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIU",
"first_name": "EDWARD",
"middle_name": "LO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-02-07",
"last_updated": "2022-02-07",
"certification_date": "2022-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95018530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.