Active NPI
Jeffrey Ting-Yuan Chu, MD
- Pediatrics Physician
- Capitola, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- C152161
- Practice address
- 1820 41St Ave Ste D
Capitola, CA 95010-2516 - Phone
- (831) 476-3000
- Fax
- (831) 476-9009
- NPI assigned
- Jul 25, 2008
- Last updated
- Oct 10, 2024
- 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 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | D0067792 | MD | |
| Pediatrics Physician | 208000000X | MD041400 | DC | |
| Pediatrics Physician | 208000000X | TP422 | KY | |
| Pediatrics Physician | 208000000X | ME122576 | FL | |
| Pediatrics Physician | 208000000X | P4431 | TX | |
| Pediatrics Physician | 208000000X | 1017952 | MA | |
| Pediatrics Physician | 208000000X | C152161 | CA | Primary |
| Hospitalist Physician | 208M00000X | D0067792 | MD |
Addresses
Primary practice location
1820 41St Ave Ste D
Capitola, CA 95010-2516
Mailing address
3400 Data Dr
Rancho Cordova, CA 95670-7956
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, VA, DC, WA, TX, FL, CA, MA, NV, IL, NY, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 12
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
200 W Martin Luther King Blvd
Suite 1068
Chattanooga, TN 37402-2560
4055 Valley View LN
Suite 700
Dallas, TX 75244-4910
File
Suite 50978
Los Angeles, CA 90074-0001
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1017952 | MA | MD | Pediatrics Physician |
| D0067792 | MD | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Halifax Healthcare Systems Inc | Hospitalist | Current | Accepting new patients |
| Emergency Medicine Services of TX, PLLC | Current | Accepting new patients | |
| The Nemours Foundation | Current | Accepting new patients | |
| WHC Emerg Phys | Current | Accepting new patients | |
| Arctic Slope Native Association LTD | Current | Accepting new patients | |
| Children's Hospital | Current | Accepting new patients | |
| The Nemours Foundation | Current | Accepting new patients | |
| The Nemours Foundation | Current | Accepting new patients | |
| Acs Primary Care Physicians Southwest, PA | Hospitalist | Current | Accepting new patients |
| Baystate Medical Practices, Inc | Pediatrics | Current | Accepting new patients |
| Bethesda Emergency Associates LLC | Current | Accepting new patients | |
| WHC Physician Group LLC | Current | Accepting new patients | |
| Children's Hospital | Pediatrics | Current | Accepting new patients |
| Paragon Emergency Services LLC | Pediatrics | Current | Accepting new patients |
| Children's Hospital | Current | Accepting new patients | |
| Pokroy Medical Group of Nevada, LTD. | Pediatrics | Current | Accepting new patients |
| GS Physician Services | Pediatrics | Past | Accepting new patients |
| Hospital Physician Services, LLLP | Past | Accepting new patients | |
| Wa-Spok Primary Care LLC | Pediatrics | Past | Accepting new patients |
Locations (25 of 27)
110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000
111 Michigan Ave NW
Washington, DC 20010
Phone (202) 476-3670
303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285
303 N Clyde Morris Blvd
Fl First
Daytona Beach, FL 32114
Phone (386) 425-6198
3300 E Halifax Crossing Blvd
Deltona, FL 32725
Phone (386) 425-1800
3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404
807 Childrens Way
Jacksonville, FL 32207
Phone (904) 390-3600
6535 Nemours Pkwy
Orlando, FL 32827
Phone (407) 567-4000
8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212
280 Chestnut St
Fl 2
Springfield, MA 01199
Phone (413) 788-4385
759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233
8600 Old Georgetown Rd
Bethesda, MD 20814
Phone (301) 896-2578
3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200
25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106
100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791
9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000
11355 Pembrooke Sq
Ste 108
Waldorf, MD 20603
Phone (202) 877-6733
3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
27800 NW Freeway
Cypress, TX 77433
Phone (346) 231-4000
225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400
22999 Highway 59 N
Kingwood, TX 77339
Phone (281) 348-3322
2901 4th St
Longview, TX 75605
Phone (281) 371-1800
11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000
7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564
Interoperability endpoints
- jchu70334@valleychildrens-prd.direct-ci.com
Organizations & group practices 23
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.
-
- Emergency Medicine Physician
- Gainesville, TX
- NPI 1538101019
Hospitalist
-
dba Sammuel Simmonds Memorial Hospital
- Critical Access Hospital
- Barrow, AK
- NPI 1306933643
-
- Emergency Medical Services (Emergency Medicine) Physician
- Springfield, MA
- NPI 1548205909
Pediatrics
-
- Children's Hospital
- Washington, DC
- NPI 1912939703
-
- Emergency Medicine Physician
- San Antonio, TX
- NPI 1245938729
-
dba HHCSI Halifax Family Health Center
- Family Medicine Physician
- Daytona Beach, FL
- NPI 1245283530
Hospitalist
-
- Emergency Medicine Physician
- Winter Haven, FL
- NPI 1912101650
Pediatrics
-
dba Pediatrix Medical Group of Nevada
- Neonatal-Perinatal Medicine Physician
- Las Vegas, NV
- NPI 1992809412
Pediatrics
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1386658615
-
- General Practice Physician
- San Francisco, CA
- NPI 1124685169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728518400000",
"number": "1972768216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 DATA DR",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956707956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1820 41ST AVE STE D",
"city": "CAPITOLA",
"state": "CA",
"postal_code": "950102516",
"telephone_number": "831-476-3000",
"fax_number": "831-476-9009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHU",
"first_name": "JEFFREY",
"middle_name": "TING-YUAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-25",
"last_updated": "2024-10-10",
"certification_date": "2024-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "D0067792",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "DC",
"license": "MD041400",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "KY",
"license": "TP422",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME122576",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "P4431",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "1017952",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "C152161",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MD",
"license": "D0067792",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Capitola, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.