Shan C Chu Medical Corp

Primary specialty

Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X

Legal business name

SHAN C CHU MEDICAL CORP

Practice address

500 N Garfield Ave Ste 204
Monterey Park, CA 91754-1242

Phone

(626) 280-4393

Fax

(626) 280-5379

NPI assigned

Aug 7, 2017

Last updated

Aug 7, 2017By 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

Shan C Chu, MDNPI 1760477939

Title

Owner

Phone

(626) 280-4393

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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.

• Shan Chu, MD

  • Pulmonary Disease Physician
  • Monterey Park, CA
  • NPI 1760477939
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502064000000",
    "number": "1851816276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 ROANOKE RD",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911082634",
            "telephone_number": "626-280-4393",
            "fax_number": "626-280-5379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N GARFIELD AVE STE 204",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541242",
            "telephone_number": "626-280-4393",
            "fax_number": "626-280-5379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAN C CHU MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-07",
        "last_updated": "2017-08-07",
        "status": "A",
        "authorized_official_last_name": "CHU",
        "authorized_official_first_name": "SHAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-280-4393",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eugene Sekiguchi, DDS
• Kevin Scott Sekiguchi, D.D.S.
• Sergio a. Fuenzalida MD Inc.
• Laurie Sermsakdi
• Darren Sham, OD
• Shih Lin Lue MD, Inc
• Calvin Shih
• Chin Shun Shih, M.D.
• Ching Hsin Shih, M.D.
• Glenna Wei Shih, O.D.

• Critical Care Medicine (Internal Medicine) Physician in Monterey Park, CA
• Providers in Monterey Park, CA by specialty
• Critical Care Medicine (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.