Active NPI
Chun-Ju Kao
- Marriage & Family Therapist
- Anaheim, CA
National Provider Identifier
1679742779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- IMF53249
- Practice address
- 217 W Cerritos Ave BLDG 8
Anaheim, CA 92805-6549 - Phone
- (714) 254-8473
- Fax
- (714) 254-8480
- NPI assigned
- Feb 22, 2008
- Last updated
- Feb 22, 2008
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF53249 | CA | Primary |
Addresses
Primary practice location
217 W Cerritos Ave BLDG 8
Anaheim, CA 92805-6549
Mailing address
2205 Payton
Irvine, CA 92620-3455
Phone (714) 931-7222
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMF53249 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203638400000",
"number": "1679742779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2205 PAYTON",
"city": "IRVINE",
"state": "CA",
"postal_code": "926203455",
"telephone_number": "714-931-7222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 W CERRITOS AVE BLDG 8",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928056549",
"telephone_number": "714-254-8473",
"fax_number": "714-254-8480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAO",
"first_name": "CHUN-JU",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-22",
"last_updated": "2008-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF53249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.