Physician Compare National (NPI:1285880708)

HEALTHCARE PROVIDER: MABEL CHU DO

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1285880708
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6406177203
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20150604002866
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CHU
	Individual professional last name
Provider First Name	MABEL
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2008
	Individual professional's medical school graduation year
Primary Specialty	VASCULAR SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	GENERAL SURGERY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	GENERAL SURGERY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	ADVENTIST HEALTH PHYSICIANS NETWORK
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	3274580972
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	324
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	414 G ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 112
	Group Practice or individual's line 2 address
City	MARYSVILLE
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	959015669
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5306748031
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050133
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	RIDEOUT MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y