Individual provider Active NPI

John Chau, DDS

  • General Practice Dentistry
  • Corona, CA
National Provider Identifier
1780242784
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
104843 Issued in CA
Practice address
800 Magnolia Ave Ste 118
Corona, CA 92879-3123
Phone
(951) 735-2224
NPI assigned
Jun 4, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12013187A IN
General Practice Dentistry 1223G0001X 104843 CA Primary

Addresses

Primary practice location

800 Magnolia Ave Ste 118
Corona, CA 92879-3123

Mailing address

800 Magnolia Ave Ste 118
Corona, CA 92879-3123
Phone (951) 735-2224

Other practice location 1

346 National Rd E
Richmond, IN 47374
Phone (714) 267-5127

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

State licenses

LicenseStateTypeSpecialty
104843CAMDMarriage & Family Therapist
12013187AINMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
John Chau DDS Corporation General Practice CurrentSince Apr 6, 2021 Accepting new patients
Dan Ciobanu D.D.S., Inc. General Practice PastSince Apr 19, 2020 Accepting new patients

Locations

800 Magnolia Ave
Ste 118
Corona, CA 92879
Phone (714) 267-5127

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1780242784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MAGNOLIA AVE STE 118",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793123",
            "telephone_number": "951-735-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MAGNOLIA AVE STE 118",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793123",
            "telephone_number": "951-735-2224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "346 National Rd E",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "IN",
            "postal_code": "47374",
            "country_code": "US",
            "telephone_number": "714-267-5127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAU",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-04",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12013187A",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "104843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.