DEREK CHU (NPI# 1063654093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063654093 |
| Entity Type | Individual |
| Full Name | DEREK CHU |
| Practice Address |
2139 Tully Rd San Jose CA 95122-1346 |
| Practice Telephone | 4082565660 |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2013-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
52719 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275827404 | Derek Chu | Dermatology | 1195 W Fremont Ave, Sunnyvale, CA 94087-3832 | 2011-06-06 |
| Street Address |
2139 TULLY RD |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95122-1346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164429916 | Jimmy Cham | Dentist | 2139 Tully Rd, San Jose, CA 95122-1346 | 2005-07-07 |
| 1104027614 | Jimmy Cham Dds A Professional Corporation | Dentist | 2139 Tully Rd, San Jose, CA 95122-1346 | 2007-05-31 |
| 1790834679 | P S Chu, Dds, Inc | Dentist | 2139 Tully Rd, San Jose, CA 95122-1346 | 2007-01-09 |
| 1750430880 | Pek Chu | Dentist | 2139 Tully Rd, San Jose, CA 95122-1346 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437788015 | Vietnam Pharmacy Inc | Pharmacy | 2451 S King Rd Suite A1, San Jose, CA 95122 | 2020-04-06 |
| 1346894524 | Amy Le Tran | Counselor | Mekong Community Center, 2203 Tully Road, San Jose, CA 95122 | 2019-07-26 |
| 1164980439 | Tri Starr Home Care, LLC | PACE Provider Organization | 1609 Flanigan Dr., Unit H, Unit H, San Jose, CA 95122 | 2019-03-06 |
| 1740761196 | Aileen Phu | Acupuncturist | 1271 Story Rd Ste 50, San Jose, CA 95122 | 2018-08-23 |
| 1740775816 | Urgent Care Clinic of Northern Ca Inc | Clinic/Center | 999 Story Road, Suite 9021, San Jose, CA 95122 | 2018-06-29 |
| 1952825911 | Robert Martin Thomas | Counselor | 950 Julian St, San Jose, CA 95122 | 2017-08-01 |
| 1497113153 | Jamealle Spain | Case Manager/Care Coordinator | 2070 Lucretia Ave #310, San Jose, CA 95122 | 2016-02-09 |
| 1770915035 | Thinh Tran | Dentist | 919 Story Rd Unit 1128, San Jose, CA 95122 | 2013-08-08 |
| 1356591333 | Asian American Recovery Services | Counselor | 1340 Tully Rd., San Jose, CA 95122 | 2008-09-25 |
| 1821246505 | Samara Rachel Stone | Marriage & Family Therapist | 1340 Tully Road, Suite 304, San Jose, CA 95122 | 2008-09-05 |
| Find all providers in zip 95122 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740758648 | Yan Kalika Dental Corporation | Dentist | 5130 Stevens Creek Blvd Ste B, San Jose, CA 95129-1019 | 2018-11-08 |
| 1619488665 | Vicky Nguyen | Dentist | 3994 S Bascom Ave # 5, San Jose, CA 95124 | 2017-10-17 |
| 1922330620 | Eric J Yokota | Dentist | 1688 Willow St., Suite E, San Jose, CA 95125 | 2010-02-04 |
| 1487894499 | Ramya Ramamurthy | Dentist | 750 N Capitol Ave Ste A1, San Jose, CA 95133-1902 | 2009-03-03 |
| 1265681365 | Gary Wallace Moss | Dentist | 1680 Westwood Dr Ste D, San Jose, CA 95125-5105 | 2008-09-12 |
| 1902027410 | Nava Fathi | Dentist | 2581 Samaritan Dr., Suite 110, San Jose, CA 95124 | 2007-05-01 |
| 1295892115 | Jeffrey V. Merrifield, D.d.s., Inc. | Dentist | 2664 Berryessa Rd Ste 116, San Jose, CA 95132-2906 | 2007-01-02 |
| 1538261458 | Kelly Allyn Conlon | Dentist | 2000 Forest Ave, Suite D, San Jose, CA 95128-4831 | 2006-09-01 |
| 1982712741 | Jeffrey D. Krupp | Dentist | 3994 S Bascom Ave, #5, San Jose, CA 95124-2663 | 2006-08-29 |
| 1952418014 | Gurpreet Singh Narula | Dentist | 150 N Jackson Ave Ste 212, San Jose, CA 95116-1908 | 2006-08-24 |
| Find all providers in SAN JOSE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.