Active NPI
Joseph F. Chow, M.D.
- Dermatology Physician
- Huntington Beach, CA
National Provider Identifier
1710915509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- G38395
- Practice address
- 17822 Beach Blvd.
Suite 468
Huntington Beach, CA 92647-7520 - Phone
- (714) 841-8818
- Fax
- (714) 814-2121
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | G38395 | CA | Primary |
Addresses
Primary practice location
17822 Beach Blvd.
Suite 468
Huntington Beach, CA 92647-7520
Mailing address
17822 Beach Blvd.
Suite 468
Huntington Beach, CA 92647-7520
Phone (714) 841-8818
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G383952 | Medicaid | CA |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38395 | CA | MD | Endodontist |
| G38395 | CA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mission Hospital Regional Medical Center | 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.
-
dba Providence Mission Hospital
- Rehabilitation Hospital
- Mission Viejo, CA
- NPI 1003956913
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346889600000",
"number": "1710915509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17822 BEACH BLVD.",
"address_2": "SUITE 468",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926477520",
"telephone_number": "714-841-8818",
"fax_number": "714-814-2121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17822 BEACH BLVD.",
"address_2": "SUITE 468",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926477520",
"telephone_number": "714-841-8818",
"fax_number": "714-814-2121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOW",
"first_name": "JOSEPH",
"middle_name": "F.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2012-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "G38395",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G383952",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.