Kayla Chan

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

3554 Business Park Dr Ste a
Costa Mesa, CA 92626-1423

Phone

(657) 444-9002

NPI assigned

Mar 13, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552435200000",
    "number": "1043779762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 QUINCY AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151822",
            "telephone_number": "562-879-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3554 BUSINESS PARK DR STE A",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926261423",
            "telephone_number": "657-444-9002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1503 S Coast Dr Ste 205",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926261527",
            "country_code": "US",
            "telephone_number": "657-444-9002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAN",
        "first_name": "KAYLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-13",
        "last_updated": "2019-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priscilla Leane Chairoj, RN
• Jean Champion, MA, CCC-SLP
• Treavor Champion
• Stephenie R Champlin, MSW, LCSW
• Courtney Paige Chan, RN
• Marjorie M. Chan, NP
• Kevin Kethya Chanda
• Vidhi Chandnani
• Alexander George Chang, DPT
• CHI Chang, OD

• Behavior Technician in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.