Individual provider Active NPI

Oliver Lee Chiu, NP-C

  • Family Nurse Practitioner
  • West Covina, CA
National Provider Identifier
1740725068
Registry record updated Dec 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95005695 Issued in CA
Practice address
741 S Orange Ave Ste 151
West Covina, CA 91790-2662
Phone
(562) 676-8511
NPI assigned
Dec 21, 2016
Last updated
Dec 25, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95005695 CA Primary

Addresses

Primary practice location

741 S Orange Ave Ste 151
West Covina, CA 91790-2662

Mailing address

741 S Orange Ave Ste 151
West Covina, CA 91790-2662
Phone (562) 676-8511

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170707002562 CA Practitioner - Nurse Practitioner 7517243579 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shrikant Tamhane DO IncGroup PAC ID 3971841206, 5 clinicians
Doctors Managed Emergency Medical Group IncGroup PAC ID 8123931367, 5 clinicians

Practice addresses (Care Compare)

1141 W Redondo Beach Blvd
Suite 306
Gardena, CA 90247-3583
Phone (310) 834-5388

1360 E Anaheim St
Suite 101
Long Beach, CA 90813-5514

851 W Mountain St
Glendale, CA 91202-1047
Phone (626) 579-0103

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Wellness Centers USA CurrentSince Feb 10, 2025 Accepting new patients
New Ananda Medical and Urgent Care, Inc. CurrentSince Jul 9, 2017 Accepting new patients
Community Medical Wellness Centers USA CurrentSince Feb 10, 2025 Accepting new patients
Doctors Managed Emergency Medical Group Inc. CurrentSince Jul 19, 2024 Accepting new patients

Locations

10948 Ramona Blvd
El Monte, CA 91731
Phone (626) 579-0103

1360 E Anaheim St
Ste 101
Long Beach, CA 90813
Phone (562) 270-0324

1533 Alamitos Ave
Long Beach, CA 90813
Phone (562) 218-5350

1533 Alamitos Ave
#B
Long Beach, CA 90813
Phone (310) 867-3493

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482624000000",
    "number": "1740725068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 S ORANGE AVE STE 151",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902662",
            "telephone_number": "562-676-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 S ORANGE AVE STE 151",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902662",
            "telephone_number": "562-676-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIU",
        "first_name": "OLIVER",
        "middle_name": "LEE",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-21",
        "last_updated": "2016-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95005695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

Verify at the official NPI Registry.