Active NPI
Lily Chu, MD
- Geriatric Medicine (Internal Medicine) Physician
- Burlingame, CA
National Provider Identifier
1639195506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- A76362
- Practice address
- 16 Lorton Ave Apt 4
Burlingame, CA 94010-4413 - Phone
- (650) 347-3004
- NPI assigned
- Jul 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | A76362 | CA | Primary |
Addresses
Primary practice location
16 Lorton Ave Apt 4
Burlingame, CA 94010-4413
Mailing address
16 Lorton Ave Apt 4
Burlingame, CA 94010-4413
Phone (650) 347-3004
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A763620 | Other | CA | MEDICAL PPIN # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A76362 | CA | MD | Geriatric Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198022400000",
"number": "1639195506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 LORTON AVE APT 4",
"city": "BURLINGAME",
"state": "CA",
"postal_code": "940104413",
"telephone_number": "650-347-3004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 LORTON AVE APT 4",
"city": "BURLINGAME",
"state": "CA",
"postal_code": "940104413",
"telephone_number": "650-347-3004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHU",
"first_name": "LILY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-14",
"last_updated": "2007-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "CA",
"license": "A76362",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL PPIN #",
"identifier": "00A763620",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Burlingame, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.