Active NPI
David J Chao, MD
- Sports Medicine (Orthopaedic Surgery) Physician
- San Diego, CA
National Provider Identifier
1730290289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- G78677
- Practice address
- 8901 Activity Rd
San Diego, CA 92126-4427 - Phone
- (844) 627-4763
- Fax
- (858) 571-1933
- NPI assigned
- Aug 31, 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 |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | G78677 | CA | Primary |
Addresses
Primary practice location
8901 Activity Rd
San Diego, CA 92126-4427
Mailing address
8901 Activity Rd
San Diego, CA 92126-4427
Phone (844) 627-4763
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W17163 | Other | MEDICARE PTAN | |
| WG78677D | Other | MEDICARE PROVIDER ID | |
| W17163 | Other | MEDICARE GROUP NUMBER |
Other names 1
- David Jee Wei Chao
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
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Northwestern University Womans Medical School, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
27699 Jefferson Ave
Suite 201
Temecula, CA 92590-2697
Phone (844) 627-4763
8901 Activity Rd
Suite 102
San Diego, CA 92126-4432
8901 Activity Rd
Suite 102
San Diego, CA 92126-4436
Phone (858) 571-0606
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.34 of 100
- Quality
- 68.69
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 31 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 44 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 78677 | CA | MD | Marriage & Family Therapist |
| G78677 | CA | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sharp Memorial Hospital | Past | Accepting new patients | |
| Scripps Health | Past | Accepting new patients | |
| Peak Diagnostic Services LLC | Past | Accepting new patients | |
| Regents of the University of California | Past | Accepting new patients |
Interoperability endpoints
- david.chao.1@10269.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- San Diego, CA
- NPI 1326184250
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1265949838
-
- Pharmacy
- San Diego, CA
- NPI 1598786576
-
- General Acute Care Hospital
- La Jolla, CA
- NPI 1841277704
-
- Rehabilitation Hospital Unit
- San Diego, CA
- NPI 1114901352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420761600000",
"number": "1730290289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8901 ACTIVITY RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921264427",
"telephone_number": "844-627-4763",
"fax_number": "858-571-1933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8901 ACTIVITY RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921264427",
"telephone_number": "844-627-4763",
"fax_number": "858-571-1933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAO",
"first_name": "DAVID",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2015-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "CA",
"license": "G78677",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "W17163",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER ID",
"identifier": "WG78677D",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "W17163",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DAVID",
"last_name": "CHAO",
"middle_name": "JEE WEI",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; 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.