Organization Active NPI

Christopher W Chu MD, Inc

  • Cardiovascular Disease Physician
  • Los Angeles, CA
National Provider Identifier
1770965758
Registry record updated Mar 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A111172 Issued in CA
Legal business name
CHRISTOPHER W CHU MD, INC
Practice address
711 W College St Ste 540
Los Angeles, CA 90012-1246
Phone
(213) 673-1880
Fax
(213) 627-7516
NPI assigned
Jun 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2020

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

Authorized official

Name
Dr. Christopher W Chu, M.DNPI 1326205873
Title
Owner
Phone
(213) 673-1880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X A111172 CA Primary

Addresses

Primary practice location

711 W College St Ste 540
Los Angeles, CA 90012-1246

Mailing address

900 N Alameda St # 86996
Los Angeles, CA 90012-2904
Phone (213) 673-1880

Other identifiers 1

IdentifierTypeStateIssuer
A111172OtherCASTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151008001291 CA Part B Supplier - Clinic/Group Practice 1153639356 Receives reassigned benefits from 4 practitioners
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

900 N Alameda St
Los Angeles, CA 90012

900 N Alameda St
#86996
Los Angeles, CA 90012

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11689/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585526400000",
    "number": "1770965758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N ALAMEDA ST # 86996",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900122904",
            "telephone_number": "213-673-1880",
            "fax_number": "213-627-7516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W COLLEGE ST STE 540",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900121246",
            "telephone_number": "213-673-1880",
            "fax_number": "213-627-7516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER W CHU MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-25",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A",
        "authorized_official_last_name": "CHU",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-673-1880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A111172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A111172",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.