Active NPI
Andrew Chao, M.D.
- Maternal & Fetal Medicine Physician
- Stockton, CA
National Provider Identifier
1972578896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- G46081
- Practice address
- 1617 N California St
Ste. 2D
Stockton, CA 95204-6117 - Phone
- (209) 933-9888
- Fax
- (209) 933-9988
- NPI assigned
- Feb 22, 2006
- Last updated
- Jan 28, 2015
- 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 |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | G46081 | CA | Primary |
| Specialist | 174400000X | G46081 | CA |
Addresses
Primary practice location
1617 N California St
Ste. 2D
Stockton, CA 95204-6117
Mailing address
P.O. Box 967
Lodi, CA 95241-0967
Phone (209) 334-1800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G460810 | Medicaid | CA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| G46081 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| P. Gill Obsteterics & Gynecology Medical Group, Inc | Past | Accepting new patients | |
| Valley Perinatal & Genetics Diagnostic Center Medical Group, Inc. | Maternal & Fetal Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Registered Nurse
- Lodi, CA
- NPI 1245629526
-
- Maternal & Fetal Medicine Physician
- Stockton, CA
- NPI 1821534686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422403200000",
"number": "1972578896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 967",
"city": "LODI",
"state": "CA",
"postal_code": "952410967",
"telephone_number": "209-334-1800",
"fax_number": "209-334-2416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1617 N CALIFORNIA ST",
"address_2": "STE. 2D",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952046117",
"telephone_number": "209-933-9888",
"fax_number": "209-933-9988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAO",
"first_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-22",
"last_updated": "2015-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "CA",
"license": "G46081",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G46081",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G460810",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.