Healthcare Provider Details

I. General information

NPI: 1629007000
Provider Name (Legal Business Name): JOHN H CHIU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2006
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

365 HAWTHORNE AVE #201
OAKLAND CA
94609-3107
US

IV. Provider business mailing address

365 HAWTHORNE AVE STE 201
OAKLAND CA
94609-3114
US

V. Phone/Fax

Practice location:
  • Phone: 510-452-1345
  • Fax: 510-452-1102
Mailing address:
  • Phone: 510-452-1345
  • Fax: 510-452-1102

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberA96144
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberA96144
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number35081561
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code207UN0901X
TaxonomyNuclear Cardiology Physician
License NumberA96144
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: