Vivian C Chukwuocha

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

576694 Issued in CA

Practice address

12281 Keenland Dr
Rancho Cucamonga, CA 91739-9062

Phone

(310) 709-6042

NPI assigned

Feb 2, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1992396931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12281 KEENLAND DR",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917399062",
            "telephone_number": "310-709-6042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12281 KEENLAND DR",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917399062",
            "telephone_number": "310-709-6042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26001 Redlands Blvd",
            "address_purpose": "LOCATION",
            "city": "Loma Linda",
            "state": "CA",
            "postal_code": "923737762",
            "country_code": "US",
            "telephone_number": "909-825-7084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUKWUOCHA",
        "first_name": "VIVIAN",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-02",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95016227",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "576694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Chu
• Anisa Chu, NP
• Britney Chu
• Steve Chu, PT, DPT
• Marcelina Chua
• Jenny Daeun Chun
• Amanda Chung
• Ava Chung, DDS
• Daniel Chung, PSY.D.
• Susan Lee Chung, D.D.S.

• Registered Nurse in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.