Dominic Y. Chu, M.D., Inc.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

G50693 Issued in CA

Legal business name

DOMINIC Y. CHU, M.D., INC.

Practice address

850 S Atlantic Blvd Ste 300
Monterey Park, CA 91754-4729

Phone

(626) 458-0281

Fax

(626) 458-0765

NPI assigned

May 25, 2007

Last updated

Oct 29, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dominic Yau Wai Chu, M.D.NPI 1811059371

Title

President

Phone

(626) 458-0281

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dominic Yau Wai Chu, MD

  • Urology Physician
  • Monterey Park, CA
  • NPI 1811059371
  Authorized official Same address or phone

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288310400000",
    "number": "1790996049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 S ATLANTIC BLVD STE 300",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917544729",
            "telephone_number": "626-458-0281",
            "fax_number": "626-458-0765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 S ATLANTIC BLVD STE 300",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917544729",
            "telephone_number": "626-458-0281",
            "fax_number": "626-458-0765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINIC Y. CHU, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2010-10-29",
        "status": "A",
        "authorized_official_last_name": "CHU",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_middle_name": "YAU WAI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-458-0281",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "CA",
            "license": "G50693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G506930",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Urology Physician in Monterey Park, CA
• Providers in Monterey Park, CA by specialty
• Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2010; 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.