Individual provider Active NPI

Angeline Chau

  • Physician Assistant
  • Springfield, VA
National Provider Identifier
1659847309
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA66508 Issued in CA
Practice address
6404 Meriwether LN
Springfield, VA 22150-1302
Phone
(703) 999-7157
NPI assigned
Oct 21, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X 0110006867 VA
Physician Assistant 363A00000X PA66508 CA Primary

Addresses

Primary practice location

6404 Meriwether LN
Springfield, VA 22150-1302

Mailing address

6304 Zekan LN
Springfield, VA 22150-1014
Phone (703) 999-7157

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200130002000 DC Practitioner - Physician Assistant 0244666899 Reassigns benefits to 1 organization
I20200827003073 VA Practitioner - Physician Assistant 0244666899 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA66508CAMDPhysician Assistant
0110006867VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
USA Vein Clinics of Chantilly LLC Single Specialty PastSince Jan 22, 2025 Accepting new patients
Old Dominion Anesthesia LLC Single Specialty Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1540080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1659847309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6304 ZEKAN LN",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221501014",
            "telephone_number": "703-999-7157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6404 MERIWETHER LN",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221501302",
            "telephone_number": "703-999-7157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAU",
        "first_name": "ANGELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-21",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110006867",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA66508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

Verify at the official NPI Registry.