Individual provider Active NPI

Andrea Kaye Chua Dy, FNP-BC

  • Family Medicine Physician
  • Buena Park, CA
National Provider Identifier
1821869231
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
95023232 Issued in CA
Practice address
5751 Stanton Ave
Buena Park, CA 90621-2143
Phone
(909) 702-8820
NPI assigned
Jan 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 95023232 CA Primary

Addresses

Primary practice location

5751 Stanton Ave
Buena Park, CA 90621-2143

Mailing address

5751 Stanton Ave
Buena Park, CA 90621-2143
Phone (909) 702-8820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240419000929 CA Practitioner - Nurse Practitioner 1355780651 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dazzle Health P C 26 clinicians
Altea Medical California PC 84 clinicians

Practice addresses (Care Compare)

18650 Macarthur Blvd
Irvine, CA 92612-1244
Phone (412) 996-9012

2353 23Rd St
Eureka, CA 95501-3201
Phone (707) 445-3261

Hospital & facility affiliations

  • Angelus Home Health Home health agency, Ontario, CA, CCN 059602
  • Ridgecrest Regional Hospital Hospital, Ridgecrest, CA, CCN 051333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95023232CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dazzle Health P C Family Medicine CurrentSince Aug 31, 2025 Accepting new patients
Altea Medical California PC CurrentSince Mar 4, 2024 Accepting new patients
Medex Specialty Network, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Jun R. Chiong, MD, MPH, Inc. CurrentSince Aug 1, 2025 Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

2353 23rd St
Eureka, CA 95501
Phone (704) 445-3261

2321 Newburg Rd
Fortuna, CA 95540
Phone (707) 725-4457

18650 MacArthur Blvd
Irvine, CA 92612
Phone (412) 996-9012

18650 MacArthur Blvd
Ste 450
Irvine, CA 92612
Phone (949) 570-7750

5696 Lake Murray Blvd
La Mesa, CA 91942
Phone (619) 460-5225

517 S A St
Madera, CA 93638
Phone (559) 673-9228

2424 M St
Merced, CA 95340
Phone (209) 723-2442

2124 57th Ave
Oakland, CA 94621
Phone (510) 261-2628

39950 Vista del Sol
Rancho Mirage, CA 92270
Phone (760) 340-0053

414 Tennessee St
Ste Xx
Redlands, CA 92373
Phone (909) 475-7371

461 Tennessee St
Ste C
Redlands, CA 92373
Phone (909) 475-7371

3000 N Gate Rd
Seal Beach, CA 90740
Phone (562) 594-5790

2005 River St
Susanville, CA 96130
Phone (530) 257-5341

13333 Fenton Ave
Sylmar, CA 91342
Phone (818) 367-1033

Interoperability endpoints

  • Direct secure messaging: andrea.kaye.dy.1@3574.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/3574/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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 3

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": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1821869231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5751 STANTON AVE",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906212143",
            "telephone_number": "909-702-8820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5751 STANTON AVE",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906212143",
            "telephone_number": "909-702-8820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUA DY",
        "first_name": "ANDREA",
        "middle_name": "KAYE",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "95023232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Park, CA

Sources for this page

Verify at the official NPI Registry.