1. Home
  2. Directory
  3. California
  4. Los Angeles
  5. Internal Medicine
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JAE S CHU M.D.
NPI 1063400745
Internal Medicine in Los Angeles, CA

Active since October 07, 2005PECOS Enrolled
12610 S WESTERN AVE, LOS ANGELES, CA 90047(323) 757-1853(323) 757-1281 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jae S Chu M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JAE S CHU M.D. (NPI 1063400745) is an individual internal medicine provider in Los Angeles, California, licensed in California (A46356) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (1986).

NPPES Registry Identity

NPI1063400745
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JAE S CHUCredential: M.D.
Location Address12610 S WESTERN AVELos Angeles, CA 90047-5252
Mailing Address12610 S Western AveLos Angeles, CA 90047-5252 · (323) 757-1853 · Fax (323) 757-1281
Phone(323) 757-1853
Fax(323) 757-1281
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1986
Enumeration DateOctober 7, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1063400745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A46356
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
12610 S WESTERN AVE, Los Angeles, CA 90047
Open in Google Maps ↗

Other Identifiers 1

Medicaid00A463560CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jae S Chu M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507981206
PECOS Enrollment IDI20100918000098
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90047 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RYANN BRENNER
Physician Assistant
12610 S WESTERN AVE
LOS ANGELES, CA 90047
Los Angeles County (323) 757-1853
ESSENTIAL MEDICAL CLINIC
Internal Medicine
12610 S WESTERN AVE
LOS ANGELES, CA 90047
Los Angeles County (323) 757-1853
C &K MEDICAL GROUP
Internal Medicine
12610 S WESTERN AVE
LOS ANGELES, CA 90047
Los Angeles County (323) 757-1853

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jae Chu's NPI number?

The NPI number for Jae Chu is 1063400745. It was assigned to this individual provider in the NPPES registry on October 7, 2005.

Where is Jae Chu located?

Jae Chu practices at 12610 S Western Ave, Los Angeles, CA 90047. The listed phone number is (323) 757-1853.

What is Jae Chu's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jae Chu enrolled in Medicare?

Yes. Jae Chu is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jae Chu was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.