Individual provider Active NPI

Michael Chua, MD

  • Ophthalmology Physician
  • Hacienda Heights, CA
National Provider Identifier
1952832016
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A171195 Issued in CA
Practice address
1850 S Azusa Ave Ste 107
Hacienda Heights, CA 91745-6827
Phone
(626) 812-6888
Fax
(626) 913-9281
NPI assigned
Mar 21, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X
Ophthalmology Physician 207W00000X A171195 CA Primary

Addresses

Primary practice location

1850 S Azusa Ave Ste 107
Hacienda Heights, CA 91745-6827

Mailing address

1850 S Azusa Ave Ste 107
Hacienda Heights, CA 91745-6827
Phone (626) 912-6888

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
I20210913000743 CA Practitioner - Ophthalmology 5193078509 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Perelman School of Med at the University of Pennsylvania, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Puente Hills Eye Care Center, Inc.Group PAC ID 3870765647, 3 clinicians

Practice addresses (Care Compare)

1850 S Azusa Ave
Suite 107
Hacienda Heights, CA 91745-6827
Phone (626) 912-6888

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery53

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A171195CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Puente Hills Eye Care Center, Inc. Ophthalmology CurrentSince Jul 1, 2021 Accepting new patients
Chino Hills Eye Care Center, Inc. Ophthalmology CurrentSince Feb 4, 2026 Accepting new patients
Pih Health Whittier Hospital General Acute Care Hospital Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients

Locations

3110 Chino Ave
Ste 130
Chino Hills, CA 91709
Phone (626) 912-6888

1850 S Azusa Ave
Ste 107
Hacienda Hts, CA 91745
Phone (626) 812-6888

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

NPI Registry JSON

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1952832016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 S AZUSA AVE STE 107",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917456827",
            "telephone_number": "626-912-6888",
            "fax_number": "626-913-9281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 S AZUSA AVE STE 107",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917456827",
            "telephone_number": "626-812-6888",
            "fax_number": "626-913-9281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUA",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-21",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A171195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hacienda Heights, CA

Sources for this page

Verify at the official NPI Registry.