Physician Compare National (NPI:1972578896)

HEALTHCARE PROVIDER: ANDREW CHAO M.D.

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

Individual Professional Information
NPI	1972578896
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6608921747
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090826000216
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CHAO
	Individual professional last name
Provider First Name	ANDREW
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
	Individual professional's medical school
Graduation Year	1977
	Individual professional's medical school graduation year
Primary Specialty	UNDEFINED PHYSICIAN TYPE (SPECIFY)
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1617 N CALIFORNIA ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 2D
	Group Practice or individual's line 2 address
City	STOCKTON
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	952046117
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y