Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacqueline Tien Hsin Chu, PA

Individual provider Medical Physician Assistant · NPI 1295314342

Jacqueline Tien Hsin Chu, PA is a Physician Assistant in Los Angeles, California. Graduated from University of Southern California Keck School of Medicine in 2021, 5 years ago. Practices with Providence Saint Johns Medical Foundation, a 285-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Trained at
University of Southern California Keck School of Medicine
Licensed in
CA
In the registry since
2021
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

12414 Exposition Blvd
Los Angeles, CA 90064-1016
Phone: (310) 272-7640
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 59646 (CA)
Medical Physician Assistant Taxonomy 363AM0700X
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1295314342
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 6, 2021
Last updated in NPPESJanuary 10, 2024
Certification dateJanuary 10, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Providence Saint Johns Medical Foundation — 285 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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