NPIMap

Individual provider Active NPI

Shan Chu, MD

  • Pulmonary Disease Physician
  • Monterey Park, CA
National Provider Identifier
1760477939
Registry record updated Jan 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
C50175 Issued in CA
Practice address
500 N Garfield Ave
Ste 204
Monterey Park, CA 91754-1242
Phone
(626) 280-4393
Fax
(626) 280-5379
NPI assigned
Sep 14, 2005
Last updated
Jan 18, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X C50175 CA Primary

Addresses

Primary practice location

500 N Garfield Ave
Ste 204
Monterey Park, CA 91754-1242

Mailing address

500 N Garfield Ave
Ste 204
Monterey Park, CA 91754-1242
Phone (626) 280-4393

Other identifiers 1

IdentifierTypeStateIssuer
00C601750MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100210000523 CA Practitioner - Pulmonary Disease 8123161304 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prestige Pulmonary Consultants IncGroup PAC ID 0446671382, 11 clinicians

Practice addresses (Care Compare)

500 N Garfield Ave
Monterey Park, CA 91754-1242
Phone (626) 280-4393

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C50175CAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prestige Pulmonary Consultants Inc Pulmonary Disease CurrentSince May 1, 2020 Accepting new patients
Shan C Chu Medical Corp Pulmonary Disease CurrentSince Jun 1, 2017 Accepting new patients
Alhambra Hospital Medical Center, LP PastSince Oct 27, 2025 Accepting new patients
Ahmc San Gabriel Valley Medical Past Accepting new patients
Ahmc Garfield Medical Center LP Past Accepting new patients
Alhambra Hospital Medical Center, LP Past Accepting new patients

Locations

500 N Garfield Ave
Ste 204
Monterey Park, CA 91754
Phone (626) 280-4393

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
San Gabriel Valley Medical CenterSan Gabriel, CA, CCN 555237 Skilled nursing facility Adp of the SNF Apr 2, 2025
Alhambra Hospital Medical Center, LPAlhambra, CA, CCN 555850 Skilled nursing facility Adp of the SNF Oct 27, 2025

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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 1

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": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263772800000",
    "number": "1760477939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N GARFIELD AVE",
            "address_2": "STE 204",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541242",
            "telephone_number": "626-280-4393",
            "fax_number": "626-280-5379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N GARFIELD AVE",
            "address_2": "STE 204",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541242",
            "telephone_number": "626-280-4393",
            "fax_number": "626-280-5379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHU",
        "first_name": "SHAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2010-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "C50175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C601750",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

Verify at the official NPI Registry.