Individual provider Active NPI

Anthony Chu, DO

  • Family Medicine Physician
  • Oakland, CA
National Provider Identifier
1902245111
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A14731 Issued in CA
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

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190423001637 CA Practitioner - Family PracticePractitioner - Sports Medicine 7113211897

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
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

Verify at the official NPI Registry.