Healthcare Provider Details

I. General information

NPI: 1841114337
Provider Name (Legal Business Name): CHIA-JO CHAO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4733 CHABOT DR STE 203
PLEASANTON CA
94588-3972
US

IV. Provider business mailing address

1635 TRONA WAY
SAN JOSE CA
95125-5055
US

V. Phone/Fax

Practice location:
  • Phone: 408-660-7485
  • Fax:
Mailing address:
  • Phone: 213-713-6495
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number24214
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: