Active NPI
Kwang Poung Chiu, M.D.
- Gynecology Physician
- San Pablo, CA
National Provider Identifier
1740547835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- C37989
- Practice address
- 2089 Vale Rd
Suit 24
San Pablo, CA 94806 - Phone
- (510) 367-3833
- Fax
- (510) 235-9907
- NPI assigned
- Apr 13, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | C37989 | CA | Primary |
Addresses
Primary practice location
2089 Vale Rd
Suit 24
San Pablo, CA 94806
Mailing address
1390 Summit Park Lane
Elcerrito, CA 94530
Phone (510) 236-3745
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C37989 | CA | MD | Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334275200000",
"number": "1740547835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1390 SUMMIT PARK LANE",
"city": "ELCERRITO",
"state": "CA",
"postal_code": "94530",
"telephone_number": "510-236-3745",
"fax_number": "510-235-9907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2089 VALE RD",
"address_2": "SUIT 24",
"city": "SAN PABLO",
"state": "CA",
"postal_code": "94806",
"telephone_number": "510-367-3833",
"fax_number": "510-235-9907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIU",
"first_name": "KWANG",
"middle_name": "POUNG",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-13",
"last_updated": "2012-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "CA",
"license": "C37989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Pablo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.