Individual provider Active NPI

Chia Yian Chou,, M.D.,

  • Internal Medicine Physician
  • Roseville, CA
National Provider Identifier
1972514933
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A30969 Issued in CA
Practice address
1212 Coloma Way Ste a
Roseville, CA 95661-4646
Phone
(916) 782-1264
Fax
(916) 782-1312
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A30969 CA Primary

Addresses

Primary practice location

1212 Coloma Way Ste a
Roseville, CA 95661-4646

Mailing address

1212 Coloma Way Ste a
Roseville, CA 95661-4646
Phone (916) 782-1264

Other identifiers 1

IdentifierTypeStateIssuer
00A309690MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30969CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972514933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 COLOMA WAY STE A",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614646",
            "telephone_number": "916-782-1264",
            "fax_number": "916-782-1312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 COLOMA WAY STE A",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614646",
            "telephone_number": "916-782-1264",
            "fax_number": "916-782-1312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOU,",
        "first_name": "CHIA",
        "middle_name": "YIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A30969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A309690",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.