Active NPI
Vicki Chew MD Inc
- Anesthesiology Physician
- Jackson, CA
National Provider Identifier
1568621894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- G61098
- Legal business name
- VICKI CHEW MD INC
- Practice address
- 223 Clinton Rd
Suite 204
Jackson, CA 95642-2680 - Phone
- (209) 223-5938
- NPI assigned
- Jun 2, 2008
- Last updated
- Dec 9, 2022
- 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
- Vicki L Chew, MD
- Title
- President
- Phone
- (209) 956-7732
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | G61098 | CA | Primary |
Addresses
Primary practice location
223 Clinton Rd
Suite 204
Jackson, CA 95642-2680
Mailing address
PO Box 7096
Stockton, CA 95267-0096
Phone (209) 956-7725
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1801 E March Ln
Ste C360
Stockton, CA 95210
Phone (209) 337-2020
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Anesthesiology Physician
- Stockton, CA
- NPI 1922178318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1670544000000",
"number": "1568621894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7096",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952670096",
"telephone_number": "209-956-7725",
"fax_number": "209-956-7738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 CLINTON RD",
"address_2": "SUITE 204",
"city": "JACKSON",
"state": "CA",
"postal_code": "956422680",
"telephone_number": "209-223-5938"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VICKI CHEW MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-02",
"last_updated": "2022-12-09",
"certification_date": "2022-12-09",
"status": "A",
"authorized_official_last_name": "CHEW",
"authorized_official_first_name": "VICKI",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "209-956-7732",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "G61098",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; 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.