Organization Active NPI

Primacare Chiropractic Center, Edward Chu DC Inc.

  • Chiropractor
  • Hacienda Heights, CA
National Provider Identifier
1699542407
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PRIMACARE CHIROPRACTIC CENTER, EDWARD CHU DC INC.
Practice address
16404 Colima Rd FL 1
Hacienda Heights, CA 91745-5502
Phone
(626) 581-7603
Fax
(626) 581-8411
NPI assigned
Dec 11, 2023
Last updated
Dec 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Authorized official

Name
Edward Chu, DCNPI 1508891490
Title
President
Phone
(626) 581-7603

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

16404 Colima Rd FL 1
Hacienda Heights, CA 91745-5502

Mailing address

16404 Colima Rd FL 1
Hacienda Heights, CA 91745-5502
Phone (626) 581-7603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240123000500 CA Part B Supplier - Clinic/Group Practice 0749632099 Receives reassigned benefits from 1 practitioner
Practice locations: Hacienda Heights, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1699542407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16404 COLIMA RD FL 1",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917455502",
            "telephone_number": "626-581-7603",
            "fax_number": "626-581-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16404 COLIMA RD FL 1",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917455502",
            "telephone_number": "626-581-7603",
            "fax_number": "626-581-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMACARE CHIROPRACTIC CENTER, EDWARD CHU DC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "CHU",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-581-7603",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hacienda Heights, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.