Individual provider Active NPI

Kevin Chu, M.D.

  • Urology Physician
  • Los Angeles, CA
National Provider Identifier
1790147247
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
A179295 Issued in CA
Practice address
8540 S Sepulveda Blvd Ste 911
Los Angeles, CA 90045-3808
Phone
(310) 670-9119
NPI assigned
Mar 23, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD223550 OR
Urology Physician 208800000X A179295 CA Primary

Addresses

Primary practice location

8540 S Sepulveda Blvd Ste 911
Los Angeles, CA 90045-3808

Mailing address

8540 S Sepulveda Blvd Ste 911
Los Angeles, CA 90045-3808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, PA, OR3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20231106002913 CA Practitioner - Urology 6002263563 Reassigns benefits to 2 organizations
I20250217000097 PA Practitioner - Urology 6002263563 Reassigns benefits to 1 organization
I20250403001089 OR Practitioner - Urology 6002263563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
New York Medical College, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DLP Conemaugh Physician Practices LLCGroup PAC ID 7315166949, 286 clinicians

Practice addresses (Care Compare)

1111 Franklin St
Suite 410
Johnstown, PA 15905-4342
Phone (814) 536-7851

510 N Prospect Ave
Suite 301
Redondo Beach, CA 90277-3030
Phone (310) 697-5325

Hospital & facility affiliations

  • Providence St Joseph Hospital Hospital, Eureka, CA, CCN 050006
  • Conemaugh Memorial Medical Center Hospital, Johnstown, PA, CCN 390110
  • Adventist Health Ukiah Valley Hospital, Ukiah, CA, CCN 050301

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A179295CAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salem Health CurrentSince Mar 28, 2025 Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Feb 17, 2025 Accepting new patients
Yori Health Inc Urology CurrentSince Aug 17, 2025 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Feb 17, 2025 Accepting new patients
Urological Medical Associates Urology CurrentSince Sep 25, 2023 Accepting new patients
Salem Health CurrentSince Mar 28, 2025 Accepting new patients

Locations

8540 S Sepulveda Blvd
Ste 911
Los Angeles, CA 90045
Phone (310) 670-9119

510 N Prospect Ave
Ste 301
Redondo Beach, CA 90277
Phone (310) 697-5325

510 N Prospect Ave
Ste 115
Redondo Beach, CA 90277
Phone (310) 530-5050

665 Winter St SE
Salem, OR 97301
Phone (503) 370-5634

890 Oak St SE
Salem, OR 97301
Phone (503) 585-0830

1111 Franklin St
Ste 410
Johnstown, PA 15905
Phone (814) 536-7851

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: kchu400688@direct.salemhealth.org

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 and National Provider Directory roles.

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": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1790147247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8540 S SEPULVEDA BLVD STE 911",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8540 S SEPULVEDA BLVD STE 911",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453808",
            "telephone_number": "310-670-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHU",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-23",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OR",
            "license": "MD223550",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A179295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.