Active NPI
Alvin Chu, DDS
- General Practice Dentistry
- San Gabriel, CA
National Provider Identifier
1962823906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 63049
- Practice address
- 923 S San Gabriel Blvd
San Gabriel, CA 91776-2743 - Phone
- (626) 286-8700
- NPI assigned
- Dec 17, 2013
- Last updated
- Nov 10, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 63049 | CA | Primary |
Addresses
Primary practice location
923 S San Gabriel Blvd
San Gabriel, CA 91776-2743
Mailing address
1000 Lakes Dr Ste 405
West Covina, CA 91790-2927
Phone (626) 489-3488
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160616001847 | CA | Order and Referring Only - Dentist | 4981995206 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63049 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alvin Chu DDS, Inc | Current | Accepting new patients |
Locations
1000 Lakes Dr
Ste 405
West Covina, CA 91790
Phone (626) 489-3488
Interoperability endpoints
- alvindds.chu@hchcla.eclinicaldirectplus.com
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604966400000",
"number": "1962823906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 LAKES DR STE 405",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917902927",
"telephone_number": "626-489-3488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "923 S SAN GABRIEL BLVD",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917762743",
"telephone_number": "626-286-8700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHU",
"first_name": "ALVIN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-12-17",
"last_updated": "2020-11-10",
"certification_date": "2020-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "63049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Gabriel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; 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.