MRS. OWENA ELIZABETH CHU (NPI# 1639436538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639436538 |
| Entity Type | Individual |
| Full Name | MRS. OWENA ELIZABETH CHU |
| Credential | NP |
| Practice Address |
489 E 21st St San Bernardino CA 92404-4816 |
| Practice Telephone | 9098822973 |
| Practice Fax Number | 9098822681 |
| Mailing Telephone | 9098822973 |
| Mailing Fax Number | 9098822681 |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2012-04-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 319375 | CA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
21720 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
489 E 21ST ST |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92404-4816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093738932 | Sun Ik Kim | Urology | 489 E 21st St, San Bernardino, CA 92404-4816 | 2006-07-25 |
| 1043655525 | David Stewart Koslov | Urology | 489 E 21st St, San Bernardino, CA 92404-4816 | 2013-05-09 |
| 1841502986 | Avinash Chenam | Urology | 489 E 21st St, San Bernardino, CA 92404 | 2010-07-06 |
| 1760666499 | Steve Dong | Urology | 489 E 21st St, San Bernardino, CA 92404-4816 | 2007-12-17 |
| 1972517928 | Daniel J Lama | Urology | 489 E 21st St, San Bernardino, CA 92404-4816 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740849363 | Danniella Alexandra Murillo | Physician Assistant | 2101 North Waterman Ave, San Bernardino, CA 92404 | 2019-06-07 |
| 1902377484 | Shauntel Renee Nelson | Student in an Organized Health Care Education/Training Program | 1481 N. Windsor Dr., San Bernardino, CA 92404 | 2018-12-10 |
| 1487123584 | Garrett M Grigg | Licensed Psychiatric Technician | 1481 N Windsor Dr, San Bernardino, CA 92404 | 2018-11-19 |
| 1881163434 | James Dean Anders | Counselor | 1481 Windsor Drive, San Bernardino, CA 92404 | 2018-11-13 |
| 1043703564 | Samantha Makpaiboonvatana | Optometrist | 1909 N Waterman Ave Ste 3, San Bernardino, CA 92404 | 2018-06-09 |
| 1861981623 | Christopher Windham | Behavior Technician | 2460 Fremontia Dr, San Bernardino, CA 92404 | 2018-05-08 |
| 1891145041 | Cynthia Lusy Gastelum | Marriage & Family Therapist | 1885 E Lynwood Dr Rm Se3, San Bernardino, CA 92404 | 2016-06-20 |
| 1336598259 | Foundation Enterprises LLC | Non-emergency Medical Transport (VAN) | 1663 Date Pl., #30390, San Bernardino, CA 92404 | 2016-06-10 |
| 1881042877 | Helen Ann Thompson | Speech-Language Pathologist | 1311 E. State St., San Bernardo, CA 92404 | 2016-05-31 |
| 1366839938 | Lanecia Richardson | Counselor | 135 Paul Drive, San Rafeal, CA 92404 | 2015-04-22 |
| Find all providers in zip 92404 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205378437 | Tristar Home Visit Providers Inc | Nurse Practitioner | 275 W Hospitality Ln Ste 103a, San Bernardino, CA 92408-3238 | 2016-11-04 |
| 1801282074 | Andrea Wade | Nurse Practitioner | 351 N Mountain View Ave Fas, San Bernardino, CA 92415-3115 | 2015-04-14 |
| 1912396201 | Eric Eschweiler | Nurse Practitioner | 590 N D St, San Bernardino, CA 92401-1352 | 2015-01-09 |
| 1437551561 | Priscilla Naamomo Otubuah | Nurse Practitioner | 164 W Hospitality Ln Ste 100, San Bernardino, CA 92408-3316 | 2014-09-19 |
| 1851729768 | Mercy Manaen | Nurse Practitioner | 164 W Hospitality Ln # 100, San Bernardino, CA 92408 | 2013-10-31 |
| 1841628930 | Sarita Shivakoti | Nurse Practitioner | 2150 N Waterman Ave Ste 200, San Bernardino, CA 92404-4811 | 2013-10-29 |
| 1841584778 | Sheryl Lee O. De La Cruz | Nurse Practitioner | 1850 S Waterman Ave Ste D, San Bernardino, CA 92408-2852 | 2011-06-08 |
| 1255630398 | Tracy Ann Preston | Nurse Practitioner | 1543 W 8th St, San Bernardino, CA 92411-2566 | 2011-03-15 |
| 1982905410 | Dr Ruth Tanyi, Inc | Nurse Practitioner | 577 N D St Ste 101, San Bernardino, CA 92401-1326 | 2010-11-15 |
| 1639382773 | Cathy Sampson-siriani | Nurse Practitioner | 3704 Canyon Terrace Dr, 9680 Citrus Ave, Blgd#33 Fontana, Ca 92335, San Bernardino, CA 92407-4106 | 2007-05-07 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92404 |
Please comment or provide details below to improve the information on MRS. OWENA ELIZABETH CHU.
| 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.