1578528295 NPI number — DR. CHI-YUAN HSU MD

Table of content: DR. CHI-YUAN HSU MD (NPI 1578528295)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578528295 NPI number — DR. CHI-YUAN HSU MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HSU
Provider First Name:
CHI-YUAN
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1578528295
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/17/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
513 PARNASSUS AVENUE, HSE 672, BOX 0532, UCSF NEPHROLOG
Provider Second Line Business Mailing Address:
SAN FRANCISCO, CA 94143-0532
Provider Business Mailing Address City Name:
SAN FRANCISCO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94143-0532
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
415-476-2172
Provider Business Mailing Address Fax Number:
415-476-3381

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
513 PARNASSUS AVENUE, HSE 672, BOX 0532, UCSF NEPHROLOG
Provider Second Line Business Practice Location Address:
SAN FRANCISCO, CA 94143-0532
Provider Business Practice Location Address City Name:
SAN FRANCISCO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94143-0532
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-476-2172
Provider Business Practice Location Address Fax Number:
415-476-3381
Provider Enumeration Date:
04/18/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  G85235 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RN0300X , with the licence number: G85235 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0G8523500 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".