NPIMap

Organization Active NPI

Franklin M Chu MD Inc

Doing business as San Bernardino Urological Associates

  • Specialist
  • San Bernardino, CA
National Provider Identifier
1467513739
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
C395830 Issued in CA
Legal business name
FRANKLIN M CHU MD INC
Doing business as
San Bernardino Urological Associates
Practice address
489 E 21St Street
San Bernardino, CA 92404
Phone
(909) 882-2973
Fax
(909) 882-2681
NPI assigned
Dec 12, 2006
Last updated
Nov 6, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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

Authorized official

Name
Dr. Franklin M Chu, MDNPI 1700809753
Title
President
Phone
(909) 882-2973

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X C395830 CA Primary

Addresses

Primary practice location

489 E 21St Street
San Bernardino, CA 92404

Mailing address

489 E 21St Street
San Bernardino, CA 92404
Phone (909) 882-2973

Other identifiers 2

IdentifierTypeStateIssuer
CV0056OtherCATRAVELERS RAILROAD MCARE
GR0047351MedicaidCA

Other names 1

  • SAN BERNARDINO UROLOGICAL ASSOCIATES Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050826000262 CA Part B Supplier - Clinic/Group Practice 7315978632 Receives reassigned benefits from 8 practitioners
Practice locations: San Bernardino, CA

National Provider Directory

National Provider Directory

Locations

489 E 21st St
Sn Bernrdno, CA 92404
Phone (909) 882-2973

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1467513739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 E 21ST STREET",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "92404",
            "telephone_number": "909-882-2973",
            "fax_number": "909-882-2681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 E 21ST STREET",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "92404",
            "telephone_number": "909-882-2973",
            "fax_number": "909-882-2681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANKLIN M CHU MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "CHU",
        "authorized_official_first_name": "FRANKLIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-882-2973",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "C395830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS RAILROAD MCARE",
            "identifier": "CV0056",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0047351",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAN BERNARDINO UROLOGICAL ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.