Individual provider Active NPI

Dortha Tao-Yi Chu, MD., PHD,

  • Surgical Oncology Physician
  • Valencia, CA
National Provider Identifier
1629227251
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
A86342 Issued in CA
Practice address
25425 Orchard Village Rd Ste 150
Valencia, CA 91355-2959
Phone
(661) 467-2371
Fax
(661) 753-8647
NPI assigned
Sep 18, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A86342 CA
Surgical Oncology Physician 2086X0206X A86342 CA Primary

Addresses

Primary practice location

25425 Orchard Village Rd Ste 150
Valencia, CA 91355-2959

Mailing address

23004 Weymouth PL
Valencia, CA 91354-2041
Phone (661) 678-3696

Other practice location 1

15211 Vanowen St Ste 202
Van Nuys, CA 91405-3625
Phone (818) 782-4232

Other identifiers 1

IdentifierTypeStateIssuer
0765638MedicaidCA

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090304000279 CA Practitioner - General Surgery 9931265683 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Washington University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cancer Therapy Medical Group IncGroup PAC ID 6800792003, 12 clinicians

Practice addresses (Care Compare)

7887 N Cedar Ave
Fresno, CA 93720-2685
Phone (559) 437-1000

Hospital & facility affiliations

  • Saint Agnes Medical Center Hospital, Fresno, CA, CCN 050093
  • Clovis Community Medical Center Hospital, Clovis, CA, CCN 050492

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy20
Melanoma (skin cancer) excision15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
A86342CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cancer Therapy Medical Group Inc CurrentSince Mar 1, 2025 Accepting new patients
Cancer Therapy Medical Group Inc Current Accepting new patients

Locations

7887 N Cedar Ave
Fresno, CA 93720
Phone (559) 320-4300

Interoperability endpoints

  • Direct secure messaging: dchu779420@oc.providencedirect.org

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1629227251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23004 WEYMOUTH PL",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913542041",
            "telephone_number": "661-678-3696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25425 ORCHARD VILLAGE RD STE 150",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913552959",
            "telephone_number": "661-467-2371",
            "fax_number": "661-753-8647"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15211 Vanowen St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Van Nuys",
            "state": "CA",
            "postal_code": "914053625",
            "country_code": "US",
            "telephone_number": "818-782-4232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHU",
        "first_name": "DORTHA",
        "middle_name": "TAO-YI",
        "name_prefix": "Dr.",
        "credential": "MD., PHD,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-18",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A86342",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "CA",
            "license": "A86342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0765638",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

Verify at the official NPI Registry.