Active NPI
Jane M Chu, N.P.
- Family Nurse Practitioner
- Los Angeles, CA
National Provider Identifier
1700184249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 19224
- Practice address
- 6221 Wilshire Blvd
Suite 416
Los Angeles, CA 90048-5201 - Phone
- (323) 938-9999
- Fax
- (323) 456-0880
- NPI assigned
- Mar 8, 2011
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 718035 | CA | |
| Family Nurse Practitioner | 363LF0000X | 19224 | CA | Primary |
| Neonatal Nurse Practitioner | 363LN0000X | 19224 | CA | |
| Pediatric Nurse Practitioner | 363LP0200X | 19224 | CA |
Addresses
Primary practice location
6221 Wilshire Blvd
Suite 416
Los Angeles, CA 90048-5201
Mailing address
6221 Wilshire Blvd
Suite 416
Los Angeles, CA 90048-5201
Phone (323) 938-9999
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19224 | Other | CA | BOARD OF REGISTERED NURSING - N.P. |
| 718035 | Other | CA | BOARD OF REGISTERED NURSING - R.N. |
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
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lawrence a. Mora MD Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Los Angeles, CA
- NPI 1912930512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299542400000",
"number": "1700184249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6221 WILSHIRE BLVD",
"address_2": "SUITE 416",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485201",
"telephone_number": "323-938-9999",
"fax_number": "323-456-0880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6221 WILSHIRE BLVD",
"address_2": "SUITE 416",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485201",
"telephone_number": "323-938-9999",
"fax_number": "323-456-0880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHU",
"first_name": "JANE",
"middle_name": "M",
"credential": "N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-08",
"last_updated": "2011-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "718035",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "19224",
"primary": true
},
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "CA",
"license": "19224",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CA",
"license": "19224",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF REGISTERED NURSING - N.P.",
"identifier": "19224",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF REGISTERED NURSING - R.N.",
"identifier": "718035",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.