1982726345 NPI number — DR. ALISON MAKIKO MOTOSUE CHOW MD

Table of content: DR. ALISON MAKIKO MOTOSUE CHOW MD (NPI 1982726345)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982726345 NPI number — DR. ALISON MAKIKO MOTOSUE CHOW MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CHOW
Provider First Name:
ALISON
Provider Middle Name:
MAKIKO MOTOSUE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

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:
1982726345
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/15/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
03/08/2013
NPI Reactivation Date:
03/08/2013

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6600 BRUCEVILLE RD
Provider Second Line Business Mailing Address:
BUILDING #3 KAISER SOUTH SACRAMENTO
Provider Business Mailing Address City Name:
SACRAMENTO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95823-4671
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
916-688-6800
Provider Business Mailing Address Fax Number:
916-688-2207

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6600 BRUCEVILLE RD BLDG 3
Provider Second Line Business Practice Location Address:
KAISER SOUTH SACRAMENTO DEPT OF PEDIATRICS
Provider Business Practice Location Address City Name:
SACRAMENTO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95823-4671
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
916-688-6800
Provider Business Practice Location Address Fax Number:
916-688-2207
Provider Enumeration Date:
04/05/2007

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: 207KA0200X , with the licence number:  15106 , registered in the state of HI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207KA0200X , with the licence number: A84307 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208000000X , with the licence number: 15106 , registered in the state of HI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208000000X , with the licence number: A84307 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208000000X , with the licence number: (CA)A84307 , 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: 635261-01 , issued by the state of ( HI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0000292045 . This is a "HMSA BILLING NUMBER" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".