Active NPI
Anthony Chu, DO
- Family Medicine Physician
- Oakland, CA
National Provider Identifier
1902245111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A14731
- Practice address
- 5627 Telegraph Ave Ste 179
Oakland, CA 94609-1707 - Phone
- (213) 537-9912
- Fax
- (657) 250-7349
- NPI assigned
- Jun 20, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 20A14731 | CA | |
| Family Medicine Physician | 207Q00000X | 20A14731 | CA | Primary |
Addresses
Primary practice location
5627 Telegraph Ave Ste 179
Oakland, CA 94609-1707
Mailing address
5627 Telegraph Ave Ste 179
Oakland, CA 94609-1707
Phone (213) 537-9912
Other practice location 1
450 E Spring St
#1
Long Beach, CA 90806-1625
Phone (562) 933-0050
Other practice location 2
528 Palisades Dr # 176
Pacific Palisades, CA 90272-2844
Phone (844) 644-4325
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190423001637 | CA | Practitioner - Family Practice | 7113211897 |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
15 Grumman Rd W
Suite 1400
Bethpage, NY 11714-5029
PO Box
Suite 848299
Los Angeles, CA 90084-8299
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710201600000",
"number": "1902245111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5627 TELEGRAPH AVE STE 179",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946091707",
"telephone_number": "213-537-9912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5627 TELEGRAPH AVE STE 179",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946091707",
"telephone_number": "213-537-9912",
"fax_number": "657-250-7349"
}
],
"practiceLocations": [
{
"address_1": "450 E Spring St",
"address_2": "#1",
"address_purpose": "LOCATION",
"city": "Long Beach",
"state": "CA",
"postal_code": "908061625",
"country_code": "US",
"telephone_number": "562-933-0050",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "528 Palisades Dr # 176",
"address_purpose": "LOCATION",
"city": "Pacific Palisades",
"state": "CA",
"postal_code": "902722844",
"country_code": "US",
"telephone_number": "844-644-4325",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHU",
"first_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-20",
"last_updated": "2024-03-12",
"certification_date": "2024-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "CA",
"license": "20A14731",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A14731",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.