Derrick Owen Co Chua, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

52843 Issued in CA

Practice address

2489 Mission St
Ste 12
San Francisco, CA 94110-2469

Phone

(415) 282-6810

Fax

(415) 282-6816

NPI assigned

Jun 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr.Derrick Chua D.M.D

  • Clinic/Center
  • San Francisco, CA
  • NPI 1295331288
  NPD (past) Authorized official

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1538102256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2489 MISSION ST.,",
            "address_2": "STE 12",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941102400",
            "telephone_number": "415-282-6810",
            "fax_number": "415-282-6816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2489 MISSION ST",
            "address_2": "STE 12",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941102469",
            "telephone_number": "415-282-6810",
            "fax_number": "415-282-6816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUA",
        "first_name": "DERRICK",
        "middle_name": "OWEN CO",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA DENTIST LICENSE",
            "identifier": "52843",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Chu, MSW
• Simon Nigh San Chu
• Stella Chu
• Steven C Chu, PHARMD
• Tiffany Chu, MD
• Gisele Chua
• Ivy Yen Chua, MSN, FNP
• John Rudolf Chua
• Joshua Chua, PHARM.D.
• Phoebe Linda Grace Castillo Chua

• General Practice Dentistry in San Francisco, CA
• Providers in San Francisco, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.