Active NPI
Wah Wah Chu, MD
- Internal Medicine Physician
- Palmdale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A110341
- Practice address
- 38636 Medical Center Dr Ste C
Palmdale, CA 93551-4689 - Phone
- (661) 273-0100
- NPI assigned
- Mar 5, 2010
- Last updated
- Feb 4, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A110341 | CA | Primary |
Addresses
Primary practice location
38636 Medical Center Dr Ste C
Palmdale, CA 93551-4689
Mailing address
44469 10TH St W
Lancaster, CA 93534-3324
Phone (661) 945-9411
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sierra Medical Group Holding Company, Inc. | Internal Medicine | Current | Accepting new patients |
| Radadvantage a Professional Corporation | Past | Accepting new patients |
Locations
44469 10th St W
Lancaster, CA 93534
Phone (661) 945-9411
39115 Trade Center Dr
Palmdale, CA 93551
Phone (661) 223-3880
39115 Trade Center Dr
Ste 130
Palmdale, CA 93551
Phone (661) 273-0100
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Sierra Medical Group
- Multi-Specialty Clinic/Center
- Lancaster, CA
- NPI 1780832972
Internal Medicine
-
- Diagnostic Radiology Physician
- Phoenix, AZ
- NPI 1376719666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612396800000",
"number": "1891018719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44469 10TH ST W",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935343324",
"telephone_number": "661-945-9411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38636 MEDICAL CENTER DR STE C",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935514689",
"telephone_number": "661-273-0100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHU",
"first_name": "WAH WAH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-05",
"last_updated": "2021-02-04",
"certification_date": "2021-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A110341",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palmdale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.