Active NPI
CHI C Du, M.D.
- Family Medicine Physician
- Yuba City, CA
National Provider Identifier
1669415857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A78856
- Practice address
- 1172 Live Oak Blvd
Yuba City, CA 95991-3407 - Phone
- (530) 673-3391
- Fax
- (530) 673-3491
- NPI assigned
- Jun 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | A78856 | CA | |
| Family Medicine Physician | 207Q00000X | A78856 | CA | Primary |
Addresses
Primary practice location
1172 Live Oak Blvd
Yuba City, CA 95991-3407
Mailing address
1172 Live Oak Blvd
Yuba City, CA 95991-3407
Phone (530) 673-3391
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A788560 | Medicaid | CA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050302000752 | CA | Practitioner - Family Practice | 3779531520 | Practice locations: Yuba City, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1172 Live Oak Blvd
Yuba City, CA 95991-3407
Phone (530) 673-3391
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 78856 | CA | MD | Pharmacist |
| A78856 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter North Medical Foundatoin | Past | Accepting new patients | |
| Rideout Memorial Hospital | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Marysville, CA
- NPI 1720088354
-
- Durable Medical Equipment & Medical Supplies
- Yuba City, CA
- NPI 1851437388
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oroville, CA
- NPI 1871606269
-
- General Acute Care Hospital
- Marysville, CA
- NPI 1720088354
-
- General Acute Care Hospital
- Roseville, CA
- NPI 1356390264
-
- Home Health Agency
- Yuba City, CA
- NPI 1952707382
-
- Home Health Agency
- Yuba City, CA
- NPI 1639640089
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332892800000",
"number": "1669415857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1172 LIVE OAK BLVD",
"city": "YUBA CITY",
"state": "CA",
"postal_code": "959913407",
"telephone_number": "530-673-3391",
"fax_number": "530-673-3491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1172 LIVE OAK BLVD",
"city": "YUBA CITY",
"state": "CA",
"postal_code": "959913407",
"telephone_number": "530-673-3391",
"fax_number": "530-673-3491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DU",
"first_name": "CHI",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-14",
"last_updated": "2012-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "CA",
"license": "A78856",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A78856",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A788560",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yuba City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.