SHANNON CHU (NPI# 1912461781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912461781 |
| Entity Type | Individual |
| Full Name | SHANNON CHU |
| Credential | PA-C |
| Practice Address |
1433 N Hollenbeck Ave Ste 101 Covina CA 91722-1558 |
| Mailing Address |
1444 S Point View St Ph 307 Los Angeles CA 90035-4000 |
| Practice Telephone | 6262143675 |
| Mailing Telephone | 6265518366 |
| Enumeration Date | 2019-01-25 |
| Last Update Date | 2019-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 56507 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346870532 | Shannon Chu | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2020-01-16 |
| Street Address |
1433 N HOLLENBECK AVE STE 101 |
| City | COVINA |
| State | CA |
| Zip Code | 91722-1558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083072607 | Lauren Rae Ramos | Dental Assistant | 1406 N Azuza Ave, Sute C, Covina, CA 91722 | 2016-02-10 |
| 1841674983 | John Catania | Case Manager/Care Coordinator | 4670 North Hollenbeck Ave, Covina, CA 91722 | 2015-07-18 |
| 1255615522 | Abbassi Johnson Professional Corporation | Dentist | 558 W Badillo St, Covina, CA 91722 | 2011-10-05 |
| 1528207982 | Adriana Luna | Dental Assistant | 1406 N. Azusa Ave., Suite C, Covina, CA 91722 | 2009-02-09 |
| 1295984805 | Sima Khavaran | Dentist | 546 W. Badillo St., Suite C, Covina, CA 91722 | 2008-09-18 |
| 1538361753 | Adriana Inez Camargo-fernandez | Psychologist | 599 S. Baranca, Suitel104, Covina, CA 91722 | 2007-06-01 |
| 1740498591 | Yolanda Bulaon Dycoco-esguerra | Dentist | 546 West Badillo Street, Suite E, Covina, CA 91722 | 2007-05-17 |
| 1225150543 | Michael C Huang | Dentist | 520 West Badillo Street, Covina, CA 91722 | 2007-04-06 |
| 1801914874 | Harry Humphreys Dds Inc | Dentist | 558 West Badillo, Covina, CA 91722 | 2007-03-27 |
| 1881755411 | Helen Louise Taylor | Physician Assistant | 1433 N. Hollenbeck Avenue, Suite 200, Covina, CA 91722 | 2006-12-13 |
| Find all providers in zip 91722 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497249775 | Daphney Joseph | Physician Assistant | 534 N Cabernet Dr, Covina, CA 91723-1563 | 2018-06-19 |
| 1982008728 | Jesse Garcia Zablan | Physician Assistant | 420 W. Rowland Street, Covina, CA 91723-2943 | 2014-10-21 |
| 1023369956 | Amber Allysen Gally | Physician Assistant | 16827 E Bygrove St, Covina, CA 91722-1108 | 2012-10-02 |
| 1467604314 | Kristen E. Batorfalvy | Physician Assistant | 315 N 3rd Ave Ste 302, Covina, CA 91723-1916 | 2008-10-22 |
| 1083730113 | Badillo Emergency Physicians, A Medical Corporation | Physician Assistant | 210 W Bernardino Road, Covina, CA 91723 | 2007-03-21 |
| 1881755411 | Helen Louise Taylor | Physician Assistant | 1433 N. Hollenbeck Avenue, Suite 200, Covina, CA 91722 | 2006-12-13 |
| 1922198399 | Beatriz Hammond | Physician Assistant | 20181 E Lorencita Dr, Covina, CA 91724-3832 | 2006-10-13 |
| 1205815891 | Zarin G. Khan | Physician Assistant | 420 W Rowland St, Covina, CA 91723-2943 | 2006-01-11 |
| 1649813239 | Yeonsoo Julie Lee | Physician Assistant | 234 E Badillo St, Covina, CA 91723-2115 | 2019-10-25 |
| 1639729833 | Ryan Edward Estrada | Physician Assistant | 210 W San Bernardino Rd, Covina, CA 91723-1515 | 2019-09-19 |
| Find all providers in COVINA | ||||
Please comment or provide details below to improve the information on SHANNON 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.