Elaine Lynn Chao, MS, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

382135 Issued in NY

Practice address

1850 S Azusa Ave Ste 300
Hacienda Heights, CA 91745-6854

Phone

(626) 964-6012

NPI assigned

Sep 8, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Master of Science, Nurse Practitioner

State licenses

Practice roles

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.

• Pediatric and Adolescent Medicine

  • Pediatric Adolescent Medicine Physician
  • New York, NY
  • NPI 1073612768
  NPD (past)

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1821305103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 S AZUSA AVE STE 300",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917456854",
            "telephone_number": "626-964-6012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 S AZUSA AVE STE 300",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917456854",
            "telephone_number": "626-964-6012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "390 West End Ave",
            "address_2": "Ste 1E",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10024",
            "country_code": "US",
            "telephone_number": "212-787-1444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAO",
        "first_name": "ELAINE",
        "middle_name": "LYNN",
        "credential": "MS, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-08",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "382135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Chang
• Chun Chun Chang, L.AC
• George Chiao-Tung Chang
• Gwendolyn Yee Chang, OD
• Wei Kuo Chang, LAC.
• Shihkuang Chao, L.AC.
• Shirley Chao, DDS
• Bokching Chau, L.AC
• Jennifer Chau, D.M.D.
• Tiffany Pui-Shan Chau, DDS

• Pediatric Nurse Practitioner in Hacienda Heights, CA
• Providers in Hacienda Heights, CA by specialty
• Pediatric Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; 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.