NPIMap

Individual provider Active NPI

Eric Chau

  • Physician Assistant
  • San Jose, CA
National Provider Identifier
1568944668
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA63937 Issued in CA
Practice address
200 Jose Figueres Ave Ste 480
San Jose, CA 95116-1595
Phone
(408) 684-4104
NPI assigned
Sep 5, 2018
Last updated
Jan 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA63937 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X NU
Behavior Technician 106S00000X NU

Addresses

Primary practice location

200 Jose Figueres Ave Ste 480
San Jose, CA 95116-1595

Mailing address

3611 Hageman Ave
Oakland, CA 94619-1213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240523000967 CA Practitioner - Physician Assistant 2860834744 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Khurram Abbass MD IncGroup PAC ID 4183902463, 5 clinicians

Practice addresses (Care Compare)

200 Jose Figueres Ave
Suite 480
San Jose, CA 95116-1595
Phone (408) 684-4104

2512 Samaritan CT
Suite H
San Jose, CA 95124-4002
Phone (408) 684-4104

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA63937CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Medical Group Business Services CurrentSince May 10, 2024 Accepting new patients
University of California San Francisco CurrentSince May 10, 2024 Accepting new patients
UCSF Medical Group Business Services CurrentSince May 10, 2024 Accepting new patients
University of California San Francisco CurrentSince May 10, 2024 Accepting new patients
El Camino Health Medical Network, LLC Past Accepting new patients
Mohammed Al-Temimi MD Inc PastSince Apr 20, 2025 Accepting new patients

Locations

3100 San Pablo Ave
Berkeley, CA 94702
Phone (510) 985-5020

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

Interoperability endpoints

  • Direct secure messaging: eric.chau.1@14468.direct.athenahealth.com

Organizations & group practices 10

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1568944668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 HAGEMAN AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946191213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 JOSE FIGUERES AVE STE 480",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161595",
            "telephone_number": "408-684-4104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAU",
        "first_name": "ERIC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-05",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA63937",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.