Individual provider Active NPI

Jeffrey Ting-Yuan Chu, MD

  • Pediatrics Physician
  • Capitola, CA
National Provider Identifier
1972768216
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
C152161 Issued in CA
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
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, AL12 enrollments
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 12

Enrollment IDStateProvider typePAC IDDetails
I20080828000344 MD Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 3678649555 Reassigns benefits to 2 organizations
I20100805000766 VA Practitioner - Pediatric MedicinePractitioner - Hospitalist 3678649555 Reassigns benefits to 1 organization
I20100819000474 DC Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 3678649555 Reassigns benefits to 4 organizations
I20110405001133 WA Practitioner - Pediatric Medicine 3678649555 Reassigns benefits to 1 organization
I20121012000393 TX Practitioner - Pediatric Medicine 3678649555 Reassigns benefits to 4 organizations
I20151217002617 FL Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 3678649555 Reassigns benefits to 4 organizations
I20221219001450 CA Practitioner - Pediatric Medicine 3678649555 Reassigns benefits to 1 organization
I20240926000310 MA Practitioner - Pediatric Medicine 3678649555 Reassigns benefits to 2 organizations
I20251205002108 NV Practitioner - Pediatric Medicine 3678649555 Reassigns benefits to 2 organizations
I20260507002505 IL Practitioner - Pediatric Medicine 3678649555 Reassigns benefits to 1 organization
I20260511001599 NY Practitioner - Pediatric Medicine 3678649555 Reassigns benefits to 1 organization
I20260610001709 AL Practitioner - Pediatric Medicine 3678649555 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
1017952MAMDPediatrics Physician
D0067792MDMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Halifax Healthcare Systems Inc Hospitalist CurrentSince Oct 5, 2020 Accepting new patients
Emergency Medicine Services of TX, PLLC CurrentSince Nov 16, 2024 Accepting new patients
The Nemours Foundation CurrentSince Jan 1, 2017 Accepting new patients
WHC Emerg Phys CurrentSince May 15, 2018 Accepting new patients
Arctic Slope Native Association LTD Current Accepting new patients
Children's Hospital CurrentSince Aug 14, 2017 Accepting new patients
The Nemours Foundation Current Accepting new patients
The Nemours Foundation CurrentSince Jan 1, 2017 Accepting new patients
Acs Primary Care Physicians Southwest, PA Hospitalist CurrentSince Mar 1, 2020 Accepting new patients
Baystate Medical Practices, Inc Pediatrics CurrentSince Sep 19, 2024 Accepting new patients
Bethesda Emergency Associates LLC CurrentSince Aug 1, 2015 Accepting new patients
WHC Physician Group LLC CurrentSince May 15, 2018 Accepting new patients
Children's Hospital Pediatrics CurrentSince Aug 14, 2017 Accepting new patients
Paragon Emergency Services LLC Pediatrics CurrentSince Jul 1, 2016 Accepting new patients
Children's Hospital Current Accepting new patients
Pokroy Medical Group of Nevada, LTD. Pediatrics CurrentSince Oct 1, 2025 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

  • Direct secure messaging: 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.

View all 23

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

Verify at the official NPI Registry.