Active NPI
Pen-Mao Chu, DDS
- General Practice Dentistry
- Irvine, CA
National Provider Identifier
1992994412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 51244
- Practice address
- 15333 Culver Dr Ste 340-332
Irvine, CA 92604-3078 - Phone
- (213) 675-2089
- Fax
- (714) 880-8234
- NPI assigned
- Oct 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 51244 | CA | Primary |
Addresses
Primary practice location
15333 Culver Dr Ste 340-332
Irvine, CA 92604-3078
Mailing address
15333 Culver Dr Ste 340-332
Irvine, CA 92604-3078
Phone (213) 675-2089
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51244 | CA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pen-Mao Chu, a Professional Dental Corp. | General Practice | Current | Accepting new patients |
Locations
7938 Valley View St
Buena Park, CA 90620
Phone (714) 670-7657
15333 Culver Dr
Ste 340332
Irvine, CA 92604
Phone (213) 675-2089
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Irvine, CA
- NPI 1346477023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768176000000",
"number": "1992994412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15333 CULVER DR STE 340-332",
"city": "IRVINE",
"state": "CA",
"postal_code": "926043078",
"telephone_number": "213-675-2089",
"fax_number": "714-880-8234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15333 CULVER DR STE 340-332",
"city": "IRVINE",
"state": "CA",
"postal_code": "926043078",
"telephone_number": "213-675-2089",
"fax_number": "714-880-8234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHU",
"first_name": "PEN-MAO",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-22",
"last_updated": "2026-01-12",
"certification_date": "2026-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "51244",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.